Provider Demographics
NPI:1538351655
Name:WHITE, DANIEL STEVEN (MS ED, CCC/SLP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:STEVEN
Last Name:WHITE
Suffix:
Gender:M
Credentials:MS ED, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8285 SANCTUARY DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-8800
Mailing Address - Country:US
Mailing Address - Phone:440-256-2441
Mailing Address - Fax:
Practice Address - Street 1:8285 SANCTUARY DR
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8800
Practice Address - Country:US
Practice Address - Phone:440-256-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3906235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist