Daniel, Robert

Daniel, Robert is an individual health care provider with primary practice located at 256 N Witchduck Rd Suite G, Virginia Beach VA 23462-6544. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Daniel, Robert can be contacted via phone (757) 497-3670.

Contact Information

Primary practice address
256 N Witchduck Rd Suite G Virginia Beach VA 23462-6544
Phone: (757) 497-3670
Fax: (757) 499-1947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001557 Virginia

Profile Details

NPI number 1649253774
LBN Legal business name Daniel, Robert
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649253774 NPPES
Virginia MEDICAID 7753021

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