Provider Demographics
NPI:1447610092
Name:MCDANIEL, ELEANOR ASH (LCAT, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:ASH
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:LCAT, CASAC
Other - Prefix:MRS
Other - First Name:ELEANOR
Other - Middle Name:ASH
Other - Last Name:HAGERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAT, CASAC
Mailing Address - Street 1:163 LORIMER ST
Mailing Address - Street 2:BSMT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2907
Mailing Address - Country:US
Mailing Address - Phone:484-744-7893
Mailing Address - Fax:
Practice Address - Street 1:163 LORIMER ST
Practice Address - Street 2:BSMT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2907
Practice Address - Country:US
Practice Address - Phone:484-744-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001852221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist