Doctor Name: | DALE C. DALLAS |
NPI Number: | 1134207210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G37540 |
Business Practice Address: | 6265 Highway 9 Felton, CA - 950183909 |
Business Phone Number: | 8312399913 |
Business Fax Number: | 8884240191 |
Mailing Address: | 6265 Highway 9, FELTON |
State: | CA |
Postal Code: | 950183909 |
Phone Number: | 8312399913 |
Fax Number: | 8884240191 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | G37540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |