Basic Information
| Provider Information | |||||||||
| NPI: | 1447541966 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMPSON | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | MONET | ||||||||
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| Credential: | M.A., SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 36 SEAFARE | ||||||||
| Address2: | |||||||||
| City: | LAGUNA NIGUEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926775959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495818293 | ||||||||
| FaxNumber: | 9498590849 | ||||||||
| Practice Location | |||||||||
| Address1: | 23361 MADERO STE 200 | ||||||||
| Address2: | |||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926917952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495818239 | ||||||||
| FaxNumber: | 9498590849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2011 | ||||||||
| LastUpdateDate: | 12/13/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 18928 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.