Provider Demographics
NPI:1922235985
Name:HERRINGTON, DANA MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:MARIE
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:DANA
Other - Middle Name:MARIE
Other - Last Name:HUSAIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:6084 STEVENSON DR
Mailing Address - Street 2:#309
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2429
Mailing Address - Country:US
Mailing Address - Phone:727-580-9178
Mailing Address - Fax:
Practice Address - Street 1:448 W DONEGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2335
Practice Address - Country:US
Practice Address - Phone:407-932-3445
Practice Address - Fax:407-932-3480
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8810363001OtherCIGNA
FL880357904Medicaid
FL592984541OtherTRICARE
FLY906FOtherBLUE CROSS BLUE SHIELD
FL6406221OtherUNITED HEALTHCARE