Organization
DANIEL S HAYES 401K
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S HAYES PHD (OWNER)
(208) 666-0357
Entity
Organization
Contact information
Practice address
2190 W IRONWOOD CENTER DR STE 2, COEUR D ALENE, ID 83814-2695
(208) 666-0357
(208) 666-0468
Mailing address
2190 W IRONWOOD CENTER DR STE 2, COEUR D ALENE, ID 83814-2695
(208) 666-0357
(208) 666-0468
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY202250
ID
103TC0700X
Clinical Psychologist
Primary
PSY244
ID
Other
Enumeration date
10/02/2006
Last updated
04/23/2013
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