Provider Demographics
NPI:1124862453
Name:CILIEN, DANIELLE CHRISTINA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CHRISTINA
Last Name:CILIEN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17034 SW 34TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4539
Mailing Address - Country:US
Mailing Address - Phone:786-810-7629
Mailing Address - Fax:
Practice Address - Street 1:17034 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4539
Practice Address - Country:US
Practice Address - Phone:786-810-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ11955235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty