Individual
COLLEEN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
25301 CABOT RD STE 215, LAGUNA HILLS, CA 92653-5512
(949) 614-0098
Mailing address
25301 CABOT RD STE 215, LAGUNA HILLS, CA 92653-5512
(949) 614-0098
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY23849
CA
103TC0700X
Clinical Psychologist
Primary
PSY23849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY23849
BOARD OF PSYCHOLOGY
CA
Enumeration date
07/13/2007
Last updated
01/06/2026
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