Provider Demographics
NPI:1063931616
Name:LINDNER, DANIELLE JO
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JO
Last Name:LINDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-4437
Mailing Address - Country:US
Mailing Address - Phone:701-446-7369
Mailing Address - Fax:
Practice Address - Street 1:4482 BARRANCA PKWY STE 175
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-1746
Practice Address - Country:US
Practice Address - Phone:949-262-7190
Practice Address - Fax:949-262-7193
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8216237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist