Individual
DR. ROBERT J DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1701 HARDEE AVE SW, FT MCPHERSON, GA 30330-1062
(404) 464-3562
(404) 464-4764
Mailing address
1810 HOMESTEAD AVE NE, ATLANTA, GA 30306-3136
(404) 876-1788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000426
GA
Other
Enumeration date
10/24/2005
Last updated
03/30/2011
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