Healthcare Provider Details

I. General information

NPI: 1437190857
Provider Name (Legal Business Name): DENELLE F DAUNER MS-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENELLE F LUNDBERG

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 30TH AVE S
MOORHEAD MN
56560-5106
US

IV. Provider business mailing address

26 36TH AVENUE CIR S
MOORHEAD MN
56560-5559
US

V. Phone/Fax

Practice location:
  • Phone: 218-284-3713
  • Fax:
Mailing address:
  • Phone: 701-371-9519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7915
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number905
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: