Dively, Danielle L.
Dively, Danielle L. is an individual health care provider with primary practice located at 7564 Woodbury Pike , Roaring Spring PA 16673. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dively, Danielle L. can be contacted via phone (814) 729-7316.Contact Information
Primary practice address
7564 Woodbury Pike
Roaring Spring PA 16673
Phone: (814) 729-7316
Fax: (814) 729-7538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS016634 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016634PA | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016634 | Pennsylvania |
Profile Details
NPI number | 1013155027 |
---|---|
LBN Legal business name | Dively, Danielle L. |
Credentials | PSY. D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2009 |
Last updated | Mar 10th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013155027 | NPPES |
Pennsylvania | Other | 000000285381 | UNISON |
Pennsylvania | MEDICAID | 1023128880004 | UNISON |
Pennsylvania | MEDICAID | 1023128880003 | UNISON |
Pennsylvania | Other | 164856RGD | UNISON |
Pennsylvania | Other | 002106964 | UNISON |
Pennsylvania | MEDICAID | 1007708200003 | UNISON |
Pennsylvania | MEDICAID | 102312888 | UNISON |
Pennsylvania | MEDICAID | 1023128880002 | UNISON |
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