Provider Demographics
NPI:1295199875
Name:HANLEY, DANIELLE (PSYD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:HANLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 RIDGEWAY CIR
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:WI
Mailing Address - Zip Code:53021-9215
Mailing Address - Country:US
Mailing Address - Phone:414-502-8102
Mailing Address - Fax:414-238-0330
Practice Address - Street 1:1017 W GLEN OAKS LN STE 167
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3317
Practice Address - Country:US
Practice Address - Phone:414-502-8102
Practice Address - Fax:414-238-0330
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6996-125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical