Individual
DANIELLE MITCHELL ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MATISSE DR APT 4027, FORT WORTH, TX 76107-2484
(817) 946-4653
Mailing address
900 MATISSE DR APT 4027, FORT WORTH, TX 76107-2484
(817) 946-4653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108941
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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