Provider Demographics
NPI:1992095202
Name:WEST, DANIELLE FAITH (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:FAITH
Last Name:WEST
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:MRS
Other - First Name:DANI
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS-CCC-SLP
Mailing Address - Street 1:13818 SW 152ND ST # 163
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1164
Mailing Address - Country:US
Mailing Address - Phone:301-728-3795
Mailing Address - Fax:
Practice Address - Street 1:18704 SW 76TH CT # CY
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8072
Practice Address - Country:US
Practice Address - Phone:301-728-3795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1115235Z00000X
WALL61441764235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist