Provider Demographics
NPI:1225420417
Name:GORSKY, DANIELLE (AUD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:GORSKY
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-8212
Mailing Address - Country:US
Mailing Address - Phone:377-903-9209
Mailing Address - Fax:377-903-9219
Practice Address - Street 1:275 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8212
Practice Address - Country:US
Practice Address - Phone:377-903-9209
Practice Address - Fax:377-903-9219
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01739231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist