Doctor Name: | DANIEL D LITTLE |
NPI Number: | 1053437988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 803 W 5th St Sterling, IL - 610813322 |
Business Phone Number: | 8156265474 |
Business Fax Number: | |
Mailing Address: | 803 W 5th St, STERLING |
State: | IL |
Postal Code: | 610813322 |
Phone Number: | 8156265474 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |