Provider Demographics
NPI:1922705284
Name:WEKO, DANIELLE GARRETT (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:GARRETT
Last Name:WEKO
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LAWSON
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4135 CYPRESS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9021
Mailing Address - Country:US
Mailing Address - Phone:434-941-7993
Mailing Address - Fax:
Practice Address - Street 1:490 HILLSDALE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-5731
Practice Address - Country:US
Practice Address - Phone:434-951-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202010631235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist