Individual
DR. DANIELLE LYNN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP, LADC
Contact information
Practice address
20795 KEOKUK AVE, LAKEVILLE, MN 55044-6004
(952) 428-0200
(952) 428-0399
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6969
MN
103TC1900X
Counseling Psychologist
LP6969
MN
Other
Enumeration date
10/24/2023
Last updated
07/18/2024
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