Lopez, Danielle

Lopez, Danielle is an individual health care provider with primary practice located at 5225 Nesconset Hwy , Port Jefferson Station NY 11776-2053. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Lopez, Danielle can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
5225 Nesconset Hwy Port Jefferson Station NY 11776-2053
Phone: (631) 473-4284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1972811982
LBN Legal business name Lopez, Danielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated May 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972811982 NPPES
New York MEDICAID 1972811982

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