Individual
DANIEL MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12501 CHANDLER BLVD, 102, VALLEY VILLAGE, CA 91607-1941
(818) 821-6012
(818) 821-6014
Mailing address
12501 CHANDLER BLVD STE 102, VALLEY VILLAGE, CA 91607-1955
(818) 821-6012
(818) 821-6014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY28004
LICENSE NUMBER
CA
Enumeration date
02/02/2016
Last updated
02/02/2016
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