Provider Demographics
NPI:1831341049
Name:DOURMASHKIN, DANIELLE (MA, CCC/SLP, TSHH)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:DOURMASHKIN
Suffix:
Gender:F
Credentials:MA, CCC/SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ARTHUR PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1703
Mailing Address - Country:US
Mailing Address - Phone:914-376-9554
Mailing Address - Fax:
Practice Address - Street 1:56 ARTHUR PL
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1703
Practice Address - Country:US
Practice Address - Phone:914-376-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010546-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist