Healthcare Provider Details

I. General information

NPI: 1134817752
Provider Name (Legal Business Name): DALTON PSYCHOLOGICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 W CHESTER PIKE STE 202
NEWTOWN SQUARE PA
19073-4228
US

IV. Provider business mailing address

3415 W CHESTER PIKE STE 202
NEWTOWN SQUARE PA
19073-4228
US

V. Phone/Fax

Practice location:
  • Phone: 570-983-5373
  • Fax:
Mailing address:
  • Phone: 484-961-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR DALTON
Title or Position: PSYCHOLOGIST & CO-OWNER
Credential: PSYD
Phone: 570-983-5373