Daniel, Colleen

Daniel, Colleen is an sole proprietor health care provider with primary practice located at 4902 Irvine Center Dr Ste 104 , Irvine CA 92604-3334. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Daniel, Colleen can be contacted via phone (949) 614-0098.

Contact Information

Primary practice address
4902 Irvine Center Dr Ste 104 Irvine CA 92604-3334
Phone: (949) 614-0098
Fax: (760) 859-3877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY23849 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY23849 California

Profile Details

NPI number 1982803557
LBN Legal business name Daniel, Colleen
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Feb 11th, 2021 - about 3 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 1982803557 NPPES
California Other PSY23849 BOARD OF PSYCHOLOGY

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