Healthcare Provider Details

I. General information

NPI: 1952399289
Provider Name (Legal Business Name): WILLIAM GORDON DANTON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S MCCARRAN BLVD BLDG. D1, STE. 28
RENO NV
89509-6102
US

IV. Provider business mailing address

200 MEADOW EDGE CT
RENO NV
89502-8722
US

V. Phone/Fax

Practice location:
  • Phone: 775-826-6218
  • Fax: 775-826-6271
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 054
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPL 4851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: