Provider Demographics
NPI:1811479652
Name:SKAUGEN, DANILA GRIFFIS
Entity type:Individual
Prefix:
First Name:DANILA
Middle Name:GRIFFIS
Last Name:SKAUGEN
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 1:1600 OAK SHORES CT
Mailing Address - Street 2:
Mailing Address - City:CROSSROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8088
Mailing Address - Country:US
Mailing Address - Phone:940-300-1300
Mailing Address - Fax:
Practice Address - Street 1:1204 SHERMAN DR
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-9564
Practice Address - Country:US
Practice Address - Phone:940-564-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112253235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist