Danna Maria Faith, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Freeport, FL

NPI 1508090218 · NPPES record last updated Jul 28, 2022

Key facts

NPI
1508090218
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA14345 (FL)
Practice address
429 Lilly Bell LN
Freeport, FL 32439-7622
Phone
(850) 974-4824
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
Yes

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 Science

State licenses

LicenseStateTypeSpecialty
3503OKMDFamily Medicine Physician
SA14345FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3503 OK
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X SA14345 FL Yes

Addresses

Primary practice location

429 Lilly Bell LN
Freeport, FL 32439-7622

Mailing address

429 Lilly Bell LN
Freeport, FL 32439-7622
Phone (850) 974-4824

Other practice location 1

6161 S 33rd West Ave
Suite 105
Tulsa, OK 74132-1527
Phone (918) 698-5561

Other practice location 2

15381 331 Business
Freeport, FL 32439-0229
Phone (850) 892-1211

Other providers in Freeport, FL

All providers in Freeport, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.