Provider Demographics
NPI:1578783106
Name:SIKULA, DANIELLE RENEE' (MED, CRC)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:RENEE'
Last Name:SIKULA
Suffix:
Gender:F
Credentials:MED, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17815 NORTHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2225
Mailing Address - Country:US
Mailing Address - Phone:216-221-1570
Mailing Address - Fax:216-221-1599
Practice Address - Street 1:17815 NORTHWOOD AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2225
Practice Address - Country:US
Practice Address - Phone:216-221-1570
Practice Address - Fax:216-221-1599
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator