Provider Demographics
NPI:1922528355
Name:MAGLINTE, E. DANIELLE
Entity Type:Individual
Prefix:
First Name:E. DANIELLE
Middle Name:
Last Name:MAGLINTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 STEEL ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8533
Mailing Address - Country:US
Mailing Address - Phone:847-910-4513
Mailing Address - Fax:
Practice Address - Street 1:13095 W CEDAR DR APT 107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1960
Practice Address - Country:US
Practice Address - Phone:303-917-6747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003838235Z00000X
IL146014538235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist