Basic Information
| Provider Information | |||||||||
| NPI: | 1861700494 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATTON | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S. CCC--SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6421 E EASTMAN AVE | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802227404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179800206 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6060 E ILIFF AVE | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802225721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037594221 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2010 | ||||||||
| LastUpdateDate: | 04/16/2013 | ||||||||
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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 | 252 | NE | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.