Dolezal, Danielle Nicole

Dolezal, Danielle Nicole is an individual health care provider with primary practice located at 4800 Sand Point Way Ne W-3621, Seattle WA 98105-3901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Dolezal, Danielle Nicole can be contacted via phone (206) 987-2051.

Contact Information

Primary practice address
4800 Sand Point Way Ne W-3621 Seattle WA 98105-3901
Fax: (206) 987-2246
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSYC.PY.60116201 Washington

Profile Details

NPI number 1427388628
LBN Legal business name Dolezal, Danielle Nicole
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated Jun 11th, 2012 - about 12 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 1427388628 NPPES
Washington Other PSYC.PY.60116201 PROFESSIONAL LICENSE NO.

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