Ralph M Daniel, PH.D.
Individual provider Active NPI Clinical Psychologist · Larkspur, CA
NPI 1245648302 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1245648302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 9245 (CA)
- Practice address
- 700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715 - Phone
- (415) 886-1002
- Fax
- (815) 572-5514
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9245 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 9245 | CA | Yes |
Addresses
Primary practice location
700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715
Mailing address
700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715
Phone (415) 886-1002
Other providers in Larkspur, CA
- Deborah E Colina
- Jamie M Cunha
- Cutler Chiropractic a Professional Corp
- Steven C. Cutler
- Cynthia Hom-Goodman M D Inc
- Charles Robert Dawes
- Gina Maria Day
- Cynthia Lewton Dehan
- Keith Denkler
- Spencer Lee Dewoody
All providers in Larkspur, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 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.