Basic Information
Provider Information
NPI: 1568741890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCLAUGHLIN
FirstName: DANIELLE
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: M.A CCC SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HAKEY
OtherFirstName: DANIELLE
OtherMiddleName: MARIE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 133 FAIRFIELD ST
Address2:  
City: SAINT ALBANS
State: VT
PostalCode: 054781726
CountryCode: US
TelephoneNumber: 8025245911
FaxNumber: 8025241025
Practice Location
Address1: 133 FAIRFIELD ST
Address2:  
City: SAINT ALBANS
State: VT
PostalCode: 054781726
CountryCode: US
TelephoneNumber: 8025245911
FaxNumber: 8025241025
Other Information
ProviderEnumerationDate: 08/04/2011
LastUpdateDate: 06/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X VTY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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