Individual
DR. JENNIFER E DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
128 JORDANS JOURNEY, WILLIAMSBURG, VA 23185-1430
(757) 784-5104
Mailing address
128 JORDANS JOURNEY, WILLIAMSBURG, VA 23185-1430
(757) 784-5104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810-002857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010065917
—
VA
Enumeration date
10/04/2006
Last updated
03/23/2021
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