Doctor Name: | MISS KAYLA C DALY |
NPI Number: | 1003184441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, MT-BC, LMHC |
License Number: | 09574 |
Business Practice Address: | 255 Park Ave Suite 304 Worcester, MA - 016091953 |
Business Phone Number: | 5083042415 |
Business Fax Number: | |
Mailing Address: | 255 Park Ave, Suite 304 WORCESTER |
State: | MA |
Postal Code: | 016091953 |
Phone Number: | 5083042415 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 09574 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |