Individual
MR. DANIEL CHRISTOPHER WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
Mailing address
3357 PONETA AVE, NEW SMYRNA BEACH, FL 32168-4559
(386) 366-0151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8136
FL
Other
Enumeration date
10/31/2017
Last updated
11/08/2017
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