Provider Demographics
NPI:1881557841
Name:MICHALIK, DANIELLE W (CPSS, SAS)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:W
Last Name:MICHALIK
Suffix:
Gender:F
Credentials:CPSS, SAS
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:PAGE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPSS, SAS
Mailing Address - Street 1:1749 SOUTHWIND RD
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-7337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1749 SOUTHWIND RD
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-7337
Practice Address - Country:US
Practice Address - Phone:864-941-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-06
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist