Provider Demographics
NPI:1598079923
Name:BUNKLEY, DANIELLE SASHINGTON
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:SASHINGTON
Last Name:BUNKLEY
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 1:1658 ESSEX LN
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-6000
Mailing Address - Country:US
Mailing Address - Phone:561-856-8835
Mailing Address - Fax:561-833-3347
Practice Address - Street 1:1658 ESSEX LN
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-6000
Practice Address - Country:US
Practice Address - Phone:561-856-8835
Practice Address - Fax:561-833-3347
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist