Doctor Name: | DR. PAUL LEE DANIELS |
NPI Number: | 1033279237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 471 |
Business Practice Address: | 710 W 8th Fort Scott, KS - 66701 |
Business Phone Number: | 6202238590 |
Business Fax Number: | 6202238592 |
Mailing Address: | 710 W 8th, FORT SCOTT |
State: | KS |
Postal Code: | 66701 |
Phone Number: | 6202238590 |
Fax Number: | 6202238592 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 471 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |