NPI Code Details Logo

NPI 1316855737

NPI 1316855737 : DANIELLE SYLVIA GRAYSON : EWEN, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316855737
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DANIELLE SYLVIA GRAYSON
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/28/2026
-----------------------------------------------------
    Last Update Date     |    08/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    200 N ELM ST 
-----------------------------------------------------
    City                 |    EWEN
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49925
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-364-1967
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    131 OLSON RD 
-----------------------------------------------------
    City                 |    WAKEFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49968-9533
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-364-1967
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041S0200X
-----------------------------------------------------
    Taxonomy Name        |    School Social Worker
-----------------------------------------------------
    License Number       |    6851114163
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.