Kelly McDaniel, CCC-SLP
Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).
NPI number1124697602
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1124697602
- Entity type
- Individual (NPI-1)
- Name
- Kelly McDaniel
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 117183 | TX | Yes |
Practice location
4400 Oak Park LnFort Worth, TX 76109-9534
Phone 469-892-7500
Mailing address
3964 Watercourse Dr Apt 1437Fort Worth, TX 76109-2089
Phone 432-940-6912
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