Individual
MRS. DANIELLE LYN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC,SLP/L
Contact information
Practice address
731 N KLEIN CIR, DERBY, KS 67037-7011
(316) 440-9617
Mailing address
731 N KLEIN CIR, DERBY, KS 67037-7011
(316) 440-9617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3370
KS
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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