Provider Demographics
NPI:1588099691
Name:STORRIE, DANIELLE M (MA, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:STORRIE
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W 19TH ST
Mailing Address - Street 2:APARTMENT 2W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3906
Mailing Address - Country:US
Mailing Address - Phone:516-698-5643
Mailing Address - Fax:
Practice Address - Street 1:316 W 19TH ST
Practice Address - Street 2:APARTMENT 2W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3906
Practice Address - Country:US
Practice Address - Phone:516-698-5643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-08
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist