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NPI Code Detail

MEDICARE: MRS. STACY LIND DANIELS MS, CCC-SLP

MEDICARE:  MRS. STACY LIND DANIELS  MS, 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
1235Z00000XSpeech-Language Pathologist100923TX

General Provider Information

NPI Number : 1649998253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACY LIND DANIELS MS, CCC-SLP
Provider Business Mailing Address
First Line : 7613 RUSTLING RD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1363
Country : US
Telephone Number : 214-738-1241
Fax Number :
Provider Business Practice Location Address
First Line : 7613 RUSTLING RD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1363
Country : US
Telephone Number : 214-738-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 08/19/2022

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Directions to “ MRS. STACY LIND DANIELS MS, CCC-SLP” Practice Location

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