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Individual

ARGENE K DANIELIDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
595 W GRANADA BLVD, SUITE H, ORMOND BEACH, FL 32174-5190
(386) 677-3995
Mailing address
595 W GRANADA BLVD, SUITE H, ORMOND BEACH, FL 32174-5190
(386) 677-3995

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
P43869
FL
103T00000X
Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75927
BCBS PROVIDER NUMBER
FL
Enumeration date
10/19/2006
Last updated
10/20/2010
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