Provider Demographics
NPI:1518446442
Name:STIMMELL, DANIELLE KATHLEEN
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KATHLEEN
Last Name:STIMMELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 MERBACH CT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-4729
Mailing Address - Country:US
Mailing Address - Phone:630-441-8467
Mailing Address - Fax:
Practice Address - Street 1:970 MERBACH CT
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-4729
Practice Address - Country:US
Practice Address - Phone:630-441-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician