Provider Demographics
NPI:1720382765
Name:CARMICHAEL, DANNI DENEEN (MS)
Entity Type:Individual
Prefix:
First Name:DANNI
Middle Name:DENEEN
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 MEGGS POINT PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1146
Mailing Address - Country:US
Mailing Address - Phone:301-977-0121
Mailing Address - Fax:301-519-7548
Practice Address - Street 1:2814 WILDWOOD CT
Practice Address - Street 2:SUITE B
Practice Address - City:WALKERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21793-8003
Practice Address - Country:US
Practice Address - Phone:301-845-2336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist