Organization
DANIEL VAN INGEN, PSY.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN VAN INGEN PSYD (OWNER)
(612) 501-5358
Entity
Organization
Contact information
Practice address
5602 MARQUESAS CIR, #102-7, SARASOTA, FL 34233-3310
(612) 501-5358
Mailing address
5602 MARQUESAS CIR, #102-7, SARASOTA, FL 34233-3310
(612) 501-5358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7918
FL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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