Riley Eason McDaniel, MA/CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Stonewall, LA

NPI 1699409177 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1699409177
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
9092 (LA)
Practice address
2535 Highway 171
Stonewall, LA 71078-9423
Phone
(318) 925-1610
Fax
(318) 925-2970
NPI assigned
Jul 12, 2022
Sex
Female
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9092LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeter Speech Language Pathology Services, LLC Multi-Specialty Current
since Feb 16, 2020
Accepting new patients
Volunteers of America Past Accepting new patients

Locations

1950 E 70th St
Ste A
Shreveport, LA 71105
Phone (318) 219-6064

2025 Southern Ave
Shreveport, LA 71104
Phone (318) 219-6064

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X 9092 LA Yes

Addresses

Primary practice location

2535 Highway 171
Stonewall, LA 71078-9423

Mailing address

399 Jenkins St
Mansfield, LA 71052-3128
Phone (318) 872-1198

Other practice location 1

1950 E 70th St Ste A
Shreveport, LA 71105-5345
Phone (318) 219-6064

Other practice location 2

2623 Highway 171
Stonewall, LA 71078-9424
Phone (318) 925-2383

Other practice location 3

1915 McArthur Dr
Mansfield, LA 71052-4505
Phone (318) 872-1772

Other names

  • Ms. Riley Colleen Eason Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address riley@jeterslpservices.com Direct
Direct Messaging Address riley.mcdaniel@desotopsb.com Direct

Other providers in Stonewall, LA

All providers in Stonewall, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.