Charles Brady Dalton in Phoenix - Clinical
Charles Brady Dalton - NPI 1073782884
Charles Brady Dalton is a Clinical in Phoenix, Arizona. Charles Brady Dalton practices all healthcare services and medical treatments related to Clinical. 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 | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3660 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1073782884 | AZ | -- |
Post Comment/ Review Below
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 Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
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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