Provider Demographics
NPI:1750771838
Name:LARGENT, DANIELLE E (MS, CF-SLP)
Entity type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:E
Last Name:LARGENT
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WALL ST
Mailing Address - Street 2:APT. 1105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-4201
Mailing Address - Country:US
Mailing Address - Phone:248-310-1116
Mailing Address - Fax:
Practice Address - Street 1:95 WALL ST
Practice Address - Street 2:APT. 1105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-4201
Practice Address - Country:US
Practice Address - Phone:248-310-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist