Provider Demographics
NPI:1902134760
Name:PELHAM, DANIELLE HUNT (SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:HUNT
Last Name:PELHAM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14003 HALPRIN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8041
Mailing Address - Country:US
Mailing Address - Phone:281-974-9654
Mailing Address - Fax:
Practice Address - Street 1:10804 HUFFMEISTER RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3178
Practice Address - Country:US
Practice Address - Phone:281-477-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-05
Last Update Date:2009-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19283235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist