Individual
DR. DANIEL J VAN INGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
624 OAK BAY DR, OSPREY, FL 34229-8960
(612) 501-5358
Mailing address
624 OAK BAY DR, OSPREY, FL 34229-8960
(612) 501-5358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP5058
MN
103T00000X
Psychologist
Primary
PY 7918
FL
103TC0700X
Clinical Psychologist
6301013662
MI
Other
Enumeration date
03/04/2008
Last updated
10/12/2010
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