Provider Demographics
NPI:1063296440
Name:K. DANFELT LLC DBA BERRY SWEET SPEECH & LANGUAGE
Entity type:Organization
Organization Name:K. DANFELT LLC DBA BERRY SWEET SPEECH & LANGUAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-880-7131
Mailing Address - Street 1:1733 SAN GABRIEL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-1814
Mailing Address - Country:US
Mailing Address - Phone:717-880-7131
Mailing Address - Fax:
Practice Address - Street 1:1733 SAN GABRIEL DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-1814
Practice Address - Country:US
Practice Address - Phone:717-880-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty