Danielle Marie Buckland, MA CCC SP.15390
Individual provider Active NPI Speech-Language Pathologist · Archbold, OH
NPI 1295465201 · NPPES record last updated Aug 6, 2023
Key facts
- NPI
- 1295465201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.15390 (OH)
- Practice address
- 205 Nolan Pkwy
Archbold, OH 43502-8404 - Phone
- (567) 444-4800
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.15390 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P T Services Rehabilitation Inc | Past |
Accepting new patients | |
| P.T. Services Rehabilitation, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.15390 | OH | Yes |
Addresses
Primary practice location
205 Nolan Pkwy
Archbold, OH 43502-8404
Mailing address
2550 S State Route 100
Tiffin, OH 44883-9356
Phone (419) 447-7203
Other providers in Archbold, OH
- Kelly Breen
- Johnathan Britsch
- Michael J Britsch
- Randy Britton
- Candace Brosneck
- Kathleen Ann Burnett
- Mathew David Butler
- Caldwell Psychological Services LLC
- Brenda Canada
- Cara Lou Frey Dba Red Cross Drug Store
All providers in Archbold, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2023. 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.