Provider Demographics
NPI:1003499971
Name:GIRON-QUERALES, DANIESKA
Entity Type:Individual
Prefix:
First Name:DANIESKA
Middle Name:
Last Name:GIRON-QUERALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VIOLET CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6324
Mailing Address - Country:US
Mailing Address - Phone:302-464-0214
Mailing Address - Fax:
Practice Address - Street 1:2 VIOLET CT
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-6324
Practice Address - Country:US
Practice Address - Phone:302-464-0214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0012139235Z00000X
CASP33373235Z00000X
PASL016346235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist