Provider Demographics
NPI:1477194389
Name:ARELLANO-MACIAS, DANIEL ABRAHAM SR (SLPA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ABRAHAM
Last Name:ARELLANO-MACIAS
Suffix:SR
Gender:M
Credentials:SLPA
Other - Prefix:
Other - First Name:ABEN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1570 W MAGGIO WAY APT 2075
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-8187
Mailing Address - Country:US
Mailing Address - Phone:915-491-2927
Mailing Address - Fax:
Practice Address - Street 1:2248 N ALMA SCHOOL RD STE 102
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2488
Practice Address - Country:US
Practice Address - Phone:480-935-0614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant