Provider Demographics
NPI:1801214234
Name:RILEY, DANIEL SCOTT (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCOTT
Last Name:RILEY
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 E BROADWAY ST
Mailing Address - Street 2:AUDIOLOGY SERVICES, OAKDALE SCHOOL
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-3817
Mailing Address - Country:US
Mailing Address - Phone:419-720-1287
Mailing Address - Fax:
Practice Address - Street 1:1620 E BROADWAY ST
Practice Address - Street 2:AUDIOLOGY SERVICES, OAKDALE SCHOOL
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-3817
Practice Address - Country:US
Practice Address - Phone:419-720-1287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA. 00969231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist