Daniel Rowles

Individual provider Active NPI Speech-Language Pathologist · Snowflake, AZ

NPI 1609915040 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1609915040
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP4776 (AZ)
Practice address
682 W School Bus LN
Snowflake, AZ 85937-5262
Phone
(928) 536-4156
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP4776AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Snowflake Unified School District #5 Past Accepting new patients
Snowflake School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP4776 AZ Yes

Addresses

Primary practice location

682 W School Bus LN
Snowflake, AZ 85937-5262

Mailing address

487 N Parkway Dr
Snowflake, AZ 85937-5816

Other identifiers

IdentifierTypeStateIssuer
085985MedicaidAZ

Other providers in Snowflake, AZ

All providers in Snowflake, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.