Provider Demographics
NPI:1487828117
Name:MCDANIEL, JULIE L (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:L
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 SUPERIOR ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4155
Mailing Address - Country:US
Mailing Address - Phone:402-742-7400
Mailing Address - Fax:702-742-9592
Practice Address - Street 1:2550 SUPERIOR ST
Practice Address - Street 2:SUITE 160
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4155
Practice Address - Country:US
Practice Address - Phone:402-742-7400
Practice Address - Fax:702-742-9592
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1269235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist