Daniela Mahely Fis

Individual provider Active NPI Marriage & Family Therapist · Fowler, CA

NPI 1386473205 · NPPES record last updated Jul 28, 2026

Key facts

NPI
1386473205
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
164503 (CA)
Practice address
311 E Merced St
Fowler, CA 93625-2316
Phone
(559) 430-6832
NPI assigned
Jul 30, 2024
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

State licenses

LicenseStateTypeSpecialty
142123CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 164503 CA Yes

Addresses

Primary practice location

311 E Merced St
Fowler, CA 93625-2316

Mailing address

311 E Merced St
Fowler, CA 93625-2316
Phone (559) 430-6832

Other providers in Fowler, CA

All providers in Fowler, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.