Danielle Bamvakais – Speech-Language Pathologist

Key facts

NPI: 1093362980
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 2019028277 (MO)
Practice address: 745 Jeffco Blvd
Arnold, MO 63010-1432
Phone: (636) 296-8000
NPI assigned: Aug 25, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Consolidated School District No. 6 Local Education Agency (LEA) · Arnold, MO · NPI 1578680161

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2019028277	MO	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Consolidated School District No. 6		Past since Feb 4, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	2019028277	MO	Yes

Addresses

Primary practice location

745 Jeffco Blvd
Arnold, MO 63010-1432

Mailing address

4290 Gravois Rd
House Springs, MO 63051-2301
Phone (636) 692-0470

Other practice location 1

4290 Gravois Rd
House Springs, MO 63051-2301
Phone (636) 692-0470 ext. 63669

Other providers in Arnold, MO

All providers in Arnold, MO · Speech-Language Pathologist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.