Individual
DR. MICHAEL JOHN DAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 W OAK ST, SUITE 206, FORT COLLINS, CO 80521-2722
(970) 219-6699
Mailing address
315 W OAK ST, SUITE 206, FORT COLLINS, CO 80521-2722
(970) 219-6699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3132
CO
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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