Doctor Name: | DANIEL DEAN |
NPI Number: | 1457771602 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SP 426 |
Business Practice Address: | 9999 Independence Blvd Parma Heights, OH - 441304644 |
Business Phone Number: | 4408852448 |
Business Fax Number: | |
Mailing Address: | 9999 Independence Blvd, PARMA HEIGHTS |
State: | OH |
Postal Code: | 441304644 |
Phone Number: | 4408852448 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | SP 426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |