Provider Demographics
NPI:1942527064
Name:JOHNSON, DANIELLA K (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DANIELLA
Middle Name:K
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:DANIELLA
Other - Middle Name:K
Other - Last Name:CORDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:12411 HUFFMEISTER RD.
Mailing Address - Street 2:SUITE 2210
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7710
Mailing Address - Country:US
Mailing Address - Phone:803-235-5864
Mailing Address - Fax:
Practice Address - Street 1:6600 SANDS POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3711
Practice Address - Country:US
Practice Address - Phone:346-280-6617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3965235Z00000X
NC9496235Z00000X
NY028623235Z00000X
TX122231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist