Organization
HEIDI DANIELS, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI DANIELS PH.D. (PRESIDENT)
(301) 943-2245
Entity
Organization
Contact information
Practice address
65 DUKE ST., PRINCE FREDERICK, MD 20678
(301) 943-2245
(410) 257-5286
Mailing address
PO BOX 160, CHESAPEAKE BEACH, MD 20732-0160
(301) 943-2245
(410) 257-5286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3077
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40150001
FEDERAL BLUE CROSS
DC
01
—
GN31
CAREFIRST BLUE CROSS OF MARYLAND
MD
Enumeration date
07/18/2008
Last updated
07/18/2008
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