Individual
MRS. DANIELA HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
605 E 7TH ST, PROSPER, TX 75078-2545
(469) 219-2100
Mailing address
3712 OLD DENTON RD STE 114, CARROLLTON, TX 75007-2813
(214) 514-0135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
11/18/2011
Last updated
06/13/2023
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