Individual
DANIELLE MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
108 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-5686
(386) 288-6647
(904) 592-5333
Mailing address
1057 LAKE ASBURY DR, GREEN COVE SPRINGS, FL 32043-9555
(386) 288-6647
(904) 592-5333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
02/18/2020
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