Dively, Danielle L.

Dively, Danielle L. is an individual health care provider with primary practice located at 7564 Woodbury Pike , Roaring Spring PA 16673. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dively, Danielle L. can be contacted via phone (814) 729-7316.

Contact Information

Primary practice address
7564 Woodbury Pike Roaring Spring PA 16673
Phone: (814) 729-7316
Fax: (814) 729-7538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016634 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016634PA Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016634 Pennsylvania

Profile Details

NPI number 1013155027
LBN Legal business name Dively, Danielle L.
Credentials PSY. D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Oct 23rd, 2024 - about 2 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 1013155027 NPPES
Pennsylvania MEDICAID 1023128880002
Pennsylvania MEDICAID 1023128880003
Pennsylvania Other 002106964
Pennsylvania Other 000000285381
Pennsylvania MEDICAID 102312888
Pennsylvania Other 164856RGD
Pennsylvania MEDICAID 1023128880004
Pennsylvania MEDICAID 1007708200003

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