Doctor Name: | MR. DANIEL COLEMAN MCGIVERN |
NPI Number: | 1477658292 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSED CAC LPC |
License Number: | PC00362 |
Business Practice Address: | 1150 Thorn Run Rd Moon Township, PA - 151083102 |
Business Phone Number: | 7245569058 |
Business Fax Number: | |
Mailing Address: | 331 Rolling Hills Rd, FREEDOM |
State: | PA |
Postal Code: | 150422225 |
Phone Number: | 7245569058 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC00362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |