Provider Demographics
NPI:1164232716
Name:SHABIN, DANIELLE B (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:B
Last Name:SHABIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-318 HAIKU RD APT 44
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3547
Mailing Address - Country:US
Mailing Address - Phone:845-558-1647
Mailing Address - Fax:
Practice Address - Street 1:47-280 WAIHEE RD
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4999
Practice Address - Country:US
Practice Address - Phone:808-305-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-2015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist