Individual
DEANNA LOUISE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19843 NORDHOFF ST, NORTHRIDGE, CA 91324-3331
(818) 783-1425
(818) 995-0901
Mailing address
19843 NORDHOFF ST, NORTHRIDGE, CA 91324-3331
(818) 783-1425
(818) 995-0901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C37026
CA
2084P0804X
Child & Adolescent Psychiatry Physician
C37026
CA
208D00000X
General Practice Physician
37026
CA
Other
Enumeration date
10/27/2009
Last updated
12/29/2021
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