Individual
DR. PAUL LEE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
710 W 8TH, FORT SCOTT, KS 66701
(620) 223-8590
(620) 223-8592
Mailing address
710 W 8TH, FORT SCOTT, KS 66701
(620) 223-8590
(620) 223-8592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
054
KS
103TC0700X
Clinical Psychologist
471
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003028601A
—
KS
Enumeration date
12/11/2006
Last updated
07/08/2007
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