Provider Demographics
NPI:1326251232
Name:KUHL, DANIKA JAE (MS-SLP)
Entity Type:Individual
Prefix:MS
First Name:DANIKA
Middle Name:JAE
Last Name:KUHL
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 GOUDY ST
Mailing Address - Street 2:
Mailing Address - City:S PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-4940
Mailing Address - Country:US
Mailing Address - Phone:207-831-1049
Mailing Address - Fax:207-808-8952
Practice Address - Street 1:650 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-5448
Practice Address - Country:US
Practice Address - Phone:207-831-1049
Practice Address - Fax:207-829-8248
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist