Provider Demographics
NPI:1952529885
Name:MITCHELL, DANIELLE CAREY (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CAREY
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:114 COUNTRY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3931
Mailing Address - Country:US
Mailing Address - Phone:972-948-1546
Mailing Address - Fax:
Practice Address - Street 1:9240 COUNTY VIEW RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1124
Practice Address - Country:US
Practice Address - Phone:972-708-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist