Provider Demographics
NPI:1093700759
Name:SPIEGLER, DANIELLE L (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:L
Last Name:SPIEGLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30603
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20824-0603
Mailing Address - Country:US
Mailing Address - Phone:240-421-9835
Mailing Address - Fax:301-654-4195
Practice Address - Street 1:11300 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 914
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3003
Practice Address - Country:US
Practice Address - Phone:240-421-9835
Practice Address - Fax:301-654-4195
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11872103T00000X
MD2286103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP11872Medicare ID - Type Unspecified
CAR95029Medicare UPIN
MD492083Medicare ID - Type Unspecified