MEDICARE: MR. BRIAN MCDANIEL 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	SLP012268	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962120493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN MCDANIEL CCC-SLP

Provider Business Mailing Address
First Line	:	1117 OXFORD DR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-6429
Country	:	US
Telephone Number	:	770-595-7184
Fax Number	:

Provider Business Practice Location Address
First Line	:	2599 OAK ST
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3026
Country	:	US
Telephone Number	:	404-576-8145
Fax Number	:

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

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	07/08/2025

Similar Medicare Providers

1508384827 — ASIA FERRELL
Practice Location Address:

2599 OAK ST
EAST POINT, GA
30344-3026

Practice Phone: 404-576-8145
Practice Fax: 678-515-4149

1104394790 — DARIUS LARON THOMAS CCC-SLP
Practice Location Address:

2599 OAK ST
EAST POINT, GA
30344-3026

Practice Phone: 225-806-1769
Practice Fax:

1750920278 — DYNAMIC THERAPY
Practice Location Address:

2599 OAK ST
EAST POINT, GA
30344-3026

Practice Phone: 202-743-3748
Practice Fax:

1982959052 — MARY E NOAH LPN
Practice Location Address:

5728 PAISLEY PL
EAST SYRACUSE, NY
13057-3026

Practice Phone: 315-432-5636
Practice Fax:

1265842686 — MRS. ALISON DEALMEIDA MA, CCC-SLP
Practice Location Address:

18 MANSFIELD AVE
EAST BRUNSWICK, NJ
08816-3026

Practice Phone: 908-208-3477
Practice Fax:

1285172882 — KYLEE CONLIN
Practice Location Address:

3026 BAVARIAN EAST DR , APT 317
INDIANAPOLIS, IN
46235-2460

Practice Phone: 309-525-1360
Practice Fax:

Directions to “ MR. BRIAN MCDANIEL CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.