| Doctor Name: | DR. JEFF STEPHEN DALY |
| NPI Number: | 1023128196 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSY19886 |
| Business Practice Address: | 15725 Pomerado Rd Ste 107 Poway, CA - 920642057 |
| Business Phone Number: | 8583760230 |
| Business Fax Number: | 7606884045 |
| Mailing Address: | 12150 Coldwater Ct, SAN DIEGO |
| State: | CA |
| Postal Code: | 921284707 |
| Phone Number: | 8585471853 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |