Provider Demographics
NPI:1043619539
Name:CALABRO, DANIELLE B (MA CCC-SLP TSSLD)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:B
Last Name:CALABRO
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 1:1031 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4825
Mailing Address - Country:US
Mailing Address - Phone:917-449-6145
Mailing Address - Fax:
Practice Address - Street 1:1031 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4825
Practice Address - Country:US
Practice Address - Phone:917-449-6145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023853235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist