Provider Demographics
NPI:1336667088
Name:NAVAS, DANIEL ORLANDO (MA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ORLANDO
Last Name:NAVAS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 WARWICK CT APT 21
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4936
Mailing Address - Country:US
Mailing Address - Phone:609-713-0022
Mailing Address - Fax:
Practice Address - Street 1:2635 N 63RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-2422
Practice Address - Country:US
Practice Address - Phone:402-436-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2017009036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist