Provider Demographics
NPI:1023680998
Name:NOLL, DANIELLE CHRISTINE (AUD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:NOLL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07057-1136
Mailing Address - Country:US
Mailing Address - Phone:551-486-8156
Mailing Address - Fax:
Practice Address - Street 1:36 NEWARK AVE STE 130
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-4120
Practice Address - Country:US
Practice Address - Phone:973-528-2690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist