Provider Demographics
NPI:1427793090
Name:GEE, DANIELLE LYNN
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LYNN
Last Name:GEE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 GRANT ST APT 101
Mailing Address - Street 2:
Mailing Address - City:DENNISON
Mailing Address - State:OH
Mailing Address - Zip Code:44621-1288
Mailing Address - Country:US
Mailing Address - Phone:330-432-6139
Mailing Address - Fax:
Practice Address - Street 1:228 GRANT ST APT 101
Practice Address - Street 2:
Practice Address - City:DENNISON
Practice Address - State:OH
Practice Address - Zip Code:44621-1288
Practice Address - Country:US
Practice Address - Phone:330-432-6139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2910854Medicaid