Provider Demographics
NPI:1083867451
Name:PAGLIA, DANIELLE PIETRA (MS, CCC-SLP/TSHH)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:PIETRA
Last Name:PAGLIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 PANORAMA DR
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1248
Mailing Address - Country:US
Mailing Address - Phone:914-743-1264
Mailing Address - Fax:
Practice Address - Street 1:612 PANORAMA DR
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1248
Practice Address - Country:US
Practice Address - Phone:914-743-1264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014610-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist