Doctor Name: | MR. DACE TAPLEY |
NPI Number: | 1134527732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 26428 W Us Highway 85 Buckeye, AZ - 853265002 |
Business Phone Number: | 6238829906 |
Business Fax Number: | 6238829908 |
Mailing Address: | 3450 N 3rd St, PHOENIX |
State: | AZ |
Postal Code: | 850122331 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |