Provider Demographics
NPI:1528571718
Name:SLYDER, DANIELLE (LCPC, ATR-P)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:SLYDER
Suffix:
Gender:F
Credentials:LCPC, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 SHUMAN BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3187
Mailing Address - Country:US
Mailing Address - Phone:630-369-0004
Mailing Address - Fax:
Practice Address - Street 1:280 SHUMAN BLVD STE 270
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3187
Practice Address - Country:US
Practice Address - Phone:630-369-0004
Practice Address - Fax:630-369-0085
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.013212101YP2500X
IL180.0132350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional