Doctor Name: | DR. ROBERT F DALTON |
NPI Number: | 1245561448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 11206 Woodtown Rd Galena, OH - 430219638 |
Business Phone Number: | 6149751675 |
Business Fax Number: | |
Mailing Address: | 11206 Woodtown Rd, GALENA |
State: | OH |
Postal Code: | 430219638 |
Phone Number: | 6149232585 |
Fax Number: | 6149232585 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 02/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |