Active NPI
David Clifford Daniel Jr., PH.D.
- Clinical Psychologist
- Alexandria, LA
National Provider Identifier
1285720862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 84-02P
- Practice address
- 2495 Shreveport Hwy 71N
116B Psychology Clinic
Alexandria, LA 71306-9004 - Phone
- (318) 473-0010
- Fax
- (318) 483-5096
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 84-02P | AR | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy 71N
116B Psychology Clinic
Alexandria, LA 71306-9004
Mailing address
217 Woodwind Lane
Pineville, LA 71360-7754
Phone (318) 442-8905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84-02P | AR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285720862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WOODWIND LANE",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713607754",
"telephone_number": "318-442-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY 71N",
"address_2": "116B PSYCHOLOGY CLINIC",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713069004",
"telephone_number": "318-473-0010",
"fax_number": "318-483-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "DAVID",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "84-02P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.