Provider Demographics
NPI:1902384670
Name:PAGEL, DANIELLE GONZALEZ (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:GONZALEZ
Last Name:PAGEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 GLORIA ANN SMITH DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6643
Mailing Address - Country:US
Mailing Address - Phone:732-773-5219
Mailing Address - Fax:
Practice Address - Street 1:57 GLORIA ANN SMITH DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6643
Practice Address - Country:US
Practice Address - Phone:732-773-5219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program