Healthcare Provider Details

I. General information

NPI: 1821234543
Provider Name (Legal Business Name): DANIEL L SCHOCK M.A., CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 E SHEA BLVD STE 600
FOUNTAIN HILLS AZ
85268-6663
US

IV. Provider business mailing address

959 E CONSTITUTION DR
GILBERT AZ
85296-9755
US

V. Phone/Fax

Practice location:
  • Phone: 480-202-2541
  • Fax:
Mailing address:
  • Phone: 480-202-2541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP5991
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: