Daniels, Thomas L.

Daniels, Thomas L. is an individual health care provider with primary practice located at 6510 Grand Teton Plz Suite 406, Madison WI 53719-1029. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Daniels, Thomas L. can be contacted via phone (608) 833-9290.

Contact Information

Primary practice address
6510 Grand Teton Plz Suite 406 Madison WI 53719-1029
Fax: (608) 833-9691
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2007-057 Wisconsin

Profile Details

NPI number 1679527915
LBN Legal business name Daniels, Thomas L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1679527915 NPPES
Wisconsin Other 10617 DEAN HEALTH PLAN
Wisconsin MEDICAID 39649600 DEAN HEALTH PLAN

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