Provider Demographics
NPI:1407027428
Name:DANIS, TROY (AUD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:DANIS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PEARL AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-2907
Mailing Address - Country:US
Mailing Address - Phone:802-999-1058
Mailing Address - Fax:802-999-1058
Practice Address - Street 1:25 PEARL AVE
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-2907
Practice Address - Country:US
Practice Address - Phone:802-999-1058
Practice Address - Fax:802-999-1058
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00178231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist