Dahl, Michael

Dahl, Michael is an individual health care provider with primary practice located at 1725 E Bilby Rd , Tucson AZ 85706-4430. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Dahl, Michael can be contacted via phone (520) 545-5300.

Contact Information

Primary practice address
1725 E Bilby Rd Tucson AZ 85706-4430
Fax: (520) 545-5316
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3975839 Arizona

Profile Details

NPI number 1215184189
LBN Legal business name Dahl, Michael
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated Aug 22nd, 2008 - about 17 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 1215184189 NPPES
Arizona MEDICAID 3975839

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