Doctor Name: | DANIELLE SCHALK |
NPI Number: | 1578933933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TLMHC |
License Number: | 073700 |
Business Practice Address: | 1820 N 16th St Clarinda Academy Clarinda, IA - 516321165 |
Business Phone Number: | 7125423103 |
Business Fax Number: | |
Mailing Address: | 1820 N 16th St, Clarinda Academy CLARINDA |
State: | IA |
Postal Code: | 516321165 |
Phone Number: | 7125423103 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 073700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |