Charles Brady Dalton in Phoenix - Adult Development & Aging

Charles Brady Dalton - NPI 1073782884

Charles Brady Dalton is a Adult Development & Aging in Phoenix, Arizona. Charles Brady Dalton practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Charles Brady Dalton is 1073782884. The last update date is 2021-04-29.

Charles Brady Dalton's current location address is 3118 E Maryland Ave, Phoenix, Arizona. You can contact this provider via phone number 6029097539. The mailing address for Charles Brady Dalton is 3118 E Maryland Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Brady Dalton
Address 3118 E Maryland Ave, Phoenix, Arizona
Phone Number 6029097539
Fax Number
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1073782884
Provider Enumeration Date 2008-02-26
Last Updated Date 2021-04-29

Provider Mailing Address Detail

Address 3118 E Maryland Ave
City Phoenix
State Arizona (AZ)
Post Code 850162377
Phone Number 6029097539
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 3660
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1073782884 AZ --

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FAQs about Charles Brady Dalton

What is the unique 10-digit identification code assigned to Charles Brady Dalton by the Centers for Medicare & Medicaid Services?

The Charles Brady Dalton has been issued the NPI (National Provider Identifier) 1073782884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Charles Brady Dalton's facilities are situated?

The facilities of Charles Brady Dalton are physically located at the following address: 3118 E Maryland Ave, Phoenix, AZ, 850162377.

What is Charles Brady Dalton's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Brady Dalton's area of specialization is Adult Development & Aging, and the corresponding taxonomy code that categorizes this field of practice is 103Ta0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073782884 to Charles Brady Dalton?

The Charles Brady Dalton received its 1073782884 assignment from the Centers for Medicare & Medicaid Services on 2008-02-26.

When was the information regarding Charles Brady Dalton most recently updated?

The details pertaining to the Charles Brady Dalton, including its address, specialty, and other relevant information, were last refreshed on 2021-04-29.

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