Provider Demographics
NPI:1275202319
Name:BRENNEMAN, DANIKA (MA SLP)
Entity Type:Individual
Prefix:
First Name:DANIKA
Middle Name:
Last Name:BRENNEMAN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 N 115TH ST APT 276
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4009
Mailing Address - Country:US
Mailing Address - Phone:740-502-4982
Mailing Address - Fax:
Practice Address - Street 1:11100 N 115TH ST APT 276
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4009
Practice Address - Country:US
Practice Address - Phone:740-502-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist