Provider Demographics
NPI:1952540320
Name:DANIELS, SKYE HUDSON (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SKYE
Middle Name:HUDSON
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:H.
Other - Middle Name:SKYE
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:626 120TH AVE NE
Mailing Address - Street 2:SUITE B-201
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3038
Mailing Address - Country:US
Mailing Address - Phone:425-556-6330
Mailing Address - Fax:425-556-6325
Practice Address - Street 1:626 120TH AVE NE
Practice Address - Street 2:SUITE B-201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3038
Practice Address - Country:US
Practice Address - Phone:425-556-6330
Practice Address - Fax:425-556-6325
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI 60069967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist