Provider Demographics
NPI:1518408228
Name:DARRAGH, DANIELLE (BS)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:DARRAGH
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 STONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5727
Mailing Address - Country:US
Mailing Address - Phone:214-577-3760
Mailing Address - Fax:
Practice Address - Street 1:10460 HUNT CLUB PL
Practice Address - Street 2:922
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6691
Practice Address - Country:US
Practice Address - Phone:214-577-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX113381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program