Provider Demographics
NPI:1205401619
Name:DELLOIACONO, DANIELLE (LCAT)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:DELLOIACONO
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8708
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-8708
Mailing Address - Country:US
Mailing Address - Phone:516-633-4838
Mailing Address - Fax:
Practice Address - Street 1:119 CARTER HILL RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03303-4137
Practice Address - Country:US
Practice Address - Phone:516-633-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001482221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty