Individual
DR. ROBERT W DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1617 W BOGART RD, SUITE 5, SANDUSKY, OH 44870-5787
(419) 626-8226
(419) 621-0457
Mailing address
1617 W BOGART RD, SUITE 5, SANDUSKY, OH 44870-5787
(419) 626-8226
(419) 621-0457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130921
ANTHEM
—
01
—
34135671800
BUREAU OF WORKERS COMP
OH
Enumeration date
10/17/2005
Last updated
11/28/2007
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