Doctor Name: | DR. GARY WILLIAM DAYTON |
NPI Number: | 1104871086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 016654-1 |
Business Practice Address: | 65 Minnechaug Dr Glastonbury, CT - 060331909 |
Business Phone Number: | 8604320561 |
Business Fax Number: | 8604320561 |
Mailing Address: | 65 Minnechaug Dr, GLASTONBURY |
State: | CT |
Postal Code: | 060331909 |
Phone Number: | 8604320561 |
Fax Number: | 8604320561 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 05/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 016654-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |