Individual
DANIEL LEE PHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1015 E BROAD ST STE 105, COLUMBUS, OH 43205-1378
(614) 372-5535
(614) 372-5536
Mailing address
1015 E BROAD ST STE 105, COLUMBUS, OH 43205-1378
(614) 372-5535
(614) 372-5535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0384114
—
OH
Enumeration date
02/14/2008
Last updated
02/08/2024
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