Individual
MR. MICHAEL L MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
24 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-8409
Mailing address
PO BOX 1025, BECKLEY, WV 25802-1025
(304) 252-8409
(304) 252-8409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
552
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552
LICENSE OF PSYCHOLOGY
WV
05
—
9204004000
—
WV
Enumeration date
07/07/2006
Last updated
01/22/2008
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