Individual
DR. LINDA LEA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-3467
Mailing address
1305 N ELM ST, MUNCIE, IN 47303-3012
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20041067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201178510
—
IN
Enumeration date
01/04/2007
Last updated
10/21/2013
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