Individual
DANIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
12984 COZY COVE AVE, EL PASO, TX 79938-1212
(570) 279-8515
Mailing address
12984 COZY COVE AVE, EL PASO, TX 79938-1212
(570) 279-8515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115255
TX
235Z00000X
Speech-Language Pathologist
SP-2870
NV
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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