Mcdaniel, Michael L

Mcdaniel, Michael L is an individual health care provider with primary practice located at 24 Mallard Ct , Beckley WV 25801-3664. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mcdaniel, Michael L can be contacted via phone (304) 252-8409.

Contact Information

Primary practice address
24 Mallard Ct Beckley WV 25801-3664
Phone: (304) 252-8409
Fax: (304) 252-8409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 552 West Virginia

Profile Details

NPI number 1043242118
LBN Legal business name Mcdaniel, Michael L
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 22nd, 2008 - about 18 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 1043242118 NPPES
West Virginia MEDICAID 9204004000
West Virginia Other 552

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