Organization
BRIAN DALY, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PATRICK DALY M.ED (LICENSED PROFESSIONAL COUNSELOR)
(215) 983-3686
Entity
Organization
Contact information
Practice address
407 S 10TH ST, PHILADELPHIA, PA 19147-1269
(215) 983-3686
(267) 758-2127
Mailing address
407 S 10TH ST, PHILADELPHIA, PA 19147-1269
(215) 983-3686
(267) 758-2127
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PC005544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000059400035
—
PA
Enumeration date
11/05/2015
Last updated
11/05/2015
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