Individual
DR. DAVID JOHN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MPH
Contact information
Practice address
215 SANDWICH RD, WAREHAM, MA 02571
(508) 291-6931
(508) 295-4375
Mailing address
110 W MAIN ST., # 21, HYANNIS, MA 02601
(508) 775-8679
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264758
MHN/CHAMPUS
—
01
—
WO5392
BC/BS
MA
Enumeration date
10/05/2006
Last updated
07/08/2007
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