Doctor Name: | MR. TIMOTHY P. DAILEY |
NPI Number: | 1104951763 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 2919 |
Business Practice Address: | 111 Sneed Dr Clyde, NC - 287218468 |
Business Phone Number: | 8286279254 |
Business Fax Number: | 8286278811 |
Mailing Address: | Po Box 338, 204 Idol Drive THOMASVILLE |
State: | NC |
Postal Code: | 273610338 |
Phone Number: | 3364741276 |
Fax Number: | 3364724605 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2919 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |