Provider Demographics
NPI:1588054928
Name:SHEARER, DANIEL (AUD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SHEARER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 W CHESTER PIKE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2304
Mailing Address - Country:US
Mailing Address - Phone:610-557-4800
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:3855 W CHESTER PIKE
Practice Address - Street 2:SUITE 280
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2304
Practice Address - Country:US
Practice Address - Phone:610-557-4800
Practice Address - Fax:302-651-4945
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO2 0000208231H00000X
PAAT006369231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist