Provider Demographics
NPI:1629487350
Name:PANKEY, DANEILIA THERESA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANEILIA
Middle Name:THERESA
Last Name:PANKEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1818 NEW YORK AVE NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1848
Mailing Address - Country:US
Mailing Address - Phone:301-806-2242
Mailing Address - Fax:202-547-3378
Practice Address - Street 1:1818 NEW YORK AVE NE
Practice Address - Street 2:SUITE 101
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1848
Practice Address - Country:US
Practice Address - Phone:301-806-2242
Practice Address - Fax:202-547-3378
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000805235Z00000X
MD05483235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist