Doctor Name: | DR. DANIEL JOHN KACHMAN |
NPI Number: | 1073647095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D |
License Number: | 4101005376 |
Business Practice Address: | 700 S Main St Suite 210 Lapeer, MI - 484463085 |
Business Phone Number: | 8106644363 |
Business Fax Number: | 8106644364 |
Mailing Address: | 700 S Main St, Suite 210 LAPEER |
State: | MI |
Postal Code: | 484463085 |
Phone Number: | 8106644363 |
Fax Number: | 8106644364 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | 4101005376 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |