Doctor Name: | MR. GARY M. DAILY |
NPI Number: | 1003966136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, EDS |
License Number: | |
Business Practice Address: | 366 Se 5th St Ontario, OR - 979142921 |
Business Phone Number: | 2087392156 |
Business Fax Number: | |
Mailing Address: | 932 W 6th St, WEISER |
State: | ID |
Postal Code: | 836721721 |
Phone Number: | 2087392156 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |