Healthcare Provider Details

I. General information

NPI: 1003985946
Provider Name (Legal Business Name): FAITH ANGELA CALLIF-DALEY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ DAYTON CHILDREN'S MEDICAL CENTER
DAYTON OH
45404-1898
US

IV. Provider business mailing address

1 CHILDRENS PLZ DAYTON CHILDREN'S MEDICAL CENTER
DAYTON OH
45404-1898
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-5645
  • Fax: 937-641-5325
Mailing address:
  • Phone: 937-641-5645
  • Fax: 937-641-5325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: