Individual
DALE DAYWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9815 ROOSEVELT BLVD STE B, PHILADELPHIA, PA 19114-1035
(610) 644-6464
Mailing address
680 AMERICAN AVE, KING OF PRUSSIA, PA 19406-4023
(610) 644-6464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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