Provider Demographics
NPI:1467645143
Name:LANDESMANN, DANIELLE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:LANDESMANN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:CAVALIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2298 LEGION ST
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-4909
Mailing Address - Country:US
Mailing Address - Phone:516-385-5372
Mailing Address - Fax:
Practice Address - Street 1:2298 LEGION ST
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-4909
Practice Address - Country:US
Practice Address - Phone:516-385-5372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011213-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist