Provider Demographics
NPI:1215415054
Name:SACCHINELLI, DANIELLE M (AUD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:SACCHINELLI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 S HABANA AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4190
Mailing Address - Country:US
Mailing Address - Phone:813-877-3100
Mailing Address - Fax:813-877-3800
Practice Address - Street 1:508 S HABANA AVE STE 170
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4190
Practice Address - Country:US
Practice Address - Phone:813-877-3100
Practice Address - Fax:813-877-3800
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2208231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist