MEDICARE: MS. DANIELLE MARIE WRAY 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	SLP6914	AZ

General Provider Information

NPI Number	:	1427352467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE MARIE WRAY SLP

Provider Business Mailing Address
First Line	:	15634 S 43RD WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-8804
Country	:	US
Telephone Number	:	480-390-2452
Fax Number	:

Provider Business Practice Location Address
First Line	:	7275 W VINEYARD RD
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-9805
Country	:	US
Telephone Number	:	608-605-8540
Fax Number	:

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

Provider Enumeration Date	:	01/05/2011
Last Update Date	:	02/04/2026

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