Katie C Daniels
Individual provider Active NPI Health Service Psychologist · Darien, GA
NPI 1154729333 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1154729333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- Practice address
- 1119 Old River Rd
Darien, GA 31305 - Phone
- (912) 217-7078
- NPI assigned
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Yes |
Addresses
Primary practice location
1119 Old River Rd
Darien, GA 31305
Mailing address
1119 Old River Rd
Darien, GA 31305-9151
Phone (912) 217-7078
Other providers in Darien, GA
- Lee Brandt
- Elizabeth Aguanta Bulatao
- R Jackson Carter
- Coastal Community Health Services, Inc.
- Coastal Community Health Services, Inc.
- Darien Primary Care Inc
- Darien Women'S Health
- Jessica Debarry
- Judith Kalita Denton
- Stephanie Renee Dunn
All providers in Darien, GA · Health Service Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.