Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diedre Daniels, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134349079

Diedre Daniels, CCC-SLP is a Qualified Speech Language Pathologist in Shreveport, Louisiana. Qualified in 2005, 21 years ago. Practices with Wowyfitness, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2007
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

7330 Fern Ave Ste 503
Shreveport, LA 71105-4983
Phone: (866) 730-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 102615 (TX)

Record details

NPI number1134349079
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Wowyfitness, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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