Provider Demographics
NPI:1386889582
Name:MISRI, DANIELA F SR
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:F
Last Name:MISRI
Suffix:SR
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DANIELA
Other - Middle Name:F
Other - Last Name:MISRI
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:10808 WILLOW RUN CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2581
Mailing Address - Country:US
Mailing Address - Phone:301-299-1315
Mailing Address - Fax:
Practice Address - Street 1:1630 COLUMBIA ROAD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:202-939-4703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02216235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist