Healthcare Provider Details

I. General information

NPI: 1801951611
Provider Name (Legal Business Name): DANIEL W. ROBINSON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL W. SOCALL PH.D.

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15874 LINTON LANE
WELLINGTON CO
80549-2134
US

IV. Provider business mailing address

15873 LINTON LN
WELLINGTON CO
80549-2134
US

V. Phone/Fax

Practice location:
  • Phone: 970-443-1676
  • Fax:
Mailing address:
  • Phone: 970-797-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number2140
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number531
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: