Healthcare Provider Details

I. General information

NPI: 1437954518
Provider Name (Legal Business Name): DANIELLE ELIZABETH ERNEST M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 SMOKY MOUNTAINS ST
DURHAM NC
27713-2063
US

IV. Provider business mailing address

1526 SMOKY MOUNTAINS ST
DURHAM NC
27713-2063
US

V. Phone/Fax

Practice location:
  • Phone: 630-746-4873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11904779
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005042
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: