Larry E Daniels in Augusta - Clinical

Larry E Daniels - NPI 1104849215

Larry E Daniels is a Clinical in Augusta, Georgia. Larry E Daniels practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry E Daniels is 1104849215. The last update date is 2009-12-01.

Larry E Daniels's current location address is 2301 Wrightsboro Rd, Augusta, Georgia. You can contact this provider via phone number 7067337029 and fax number 7067331376. The mailing address for Larry E Daniels is 2301 Wrightsboro Rd, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry E Daniels
Address 2301 Wrightsboro Rd, Augusta, Georgia
Phone Number 7067337029
Fax Number 7067331376
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1104849215
Provider Enumeration Date 2006-07-26
Last Updated Date 2009-12-01

Provider Mailing Address Detail

Address 2301 Wrightsboro Rd
City Augusta
State Georgia (GA)
Post Code 309046219
Phone Number 7067337029
Fax Number 7067331376

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY002223
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PS0268 SC --
000801094C GA --

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FAQs about Larry E Daniels

What is the unique 10-digit identifier code issued to Larry E Daniels by the Centers for Medicare & Medicaid Services?

The Larry E Daniels has been assigned the NPI (National Provider Identifier) 1104849215 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Larry E Daniels?

The Larry E Daniels is situated at 2301 Wrightsboro Rd, in the city of Augusta, state of GA, with the zip code 309046219.

What is Larry E Daniels's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Larry E Daniels is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104849215 to Larry E Daniels?

The Larry E Daniels received its 1104849215 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.

When was the information pertaining to Larry E Daniels most recently updated or revised?

The details related to Larry E Daniels, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-01.

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