MEDICARE: MRS. DANIELLE HEATHER MAGURNO M.S. CCC-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	023953	NY
2	235Z00000X	Speech-Language Pathologist	13336	NC
3	235Z00000X	Speech-Language Pathologist	023953-1	NY
4	235Z00000X	Speech-Language Pathologist	8956	SC
5	235Z00000X	Speech-Language Pathologist	004876	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13336	OTHER	NC	SLP LICENSURE
2	8956	OTHER	SC	SLP LICENSURE

General Provider Information

NPI Number	:	1457752867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE HEATHER MAGURNO M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	12624 BANNOCK DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2115
Country	:	US
Telephone Number	:	845-642-6173
Fax Number	:

Provider Business Practice Location Address
First Line	:	12624 BANNOCK DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2115
Country	:	US
Telephone Number	:	845-642-6173
Fax Number	:

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

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	06/08/2026

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Directions to “ MRS. DANIELLE HEATHER MAGURNO M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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