| Doctor Name: | DR. DANIEL A. ROSS |
| NPI Number: | 1023107307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 006416-1 |
| Business Practice Address: | 5820 Main St Suite 204 Williamsville, NY - 142215776 |
| Business Phone Number: | 7166496145 |
| Business Fax Number: | |
| Mailing Address: | 72 Candy Ln, ORCHARD PARK |
| State: | NY |
| Postal Code: | 141274605 |
| Phone Number: | 7166496145 |
| Fax Number: | 7166491397 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 08/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 006416-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |