Provider Demographics
NPI:1326681651
Name:DANNER SPEECH SERVICES, LLC
Entity Type:Organization
Organization Name:DANNER SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:W
Authorized Official - Last Name:DANNER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, SLP
Authorized Official - Phone:706-244-5774
Mailing Address - Street 1:4950 MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:LULA
Mailing Address - State:GA
Mailing Address - Zip Code:30554-2786
Mailing Address - Country:US
Mailing Address - Phone:706-244-5774
Mailing Address - Fax:678-649-8212
Practice Address - Street 1:4950 MCKINLEY DR
Practice Address - Street 2:
Practice Address - City:LULA
Practice Address - State:GA
Practice Address - Zip Code:30554-2786
Practice Address - Country:US
Practice Address - Phone:706-244-5774
Practice Address - Fax:678-649-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty