MEDICARE: DANIELLE LEVY M.S., SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		CA

General Provider Information

NPI Number	:	1063833713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LEVY M.S., SLP

Provider Business Mailing Address
First Line	:	814 CORIANDER LN
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-7276
Country	:	US
Telephone Number	:	818-304-3398
Fax Number	:

Provider Business Practice Location Address
First Line	:	814 CORIANDER LN
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-7276
Country	:	US
Telephone Number	:	818-304-3398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2013
Last Update Date	:	09/23/2025

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