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General NPI Number Information
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NPI Number | 1720054216
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Entity Type | Individual
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Provider Name | PAUL I DANIEL L.M.H.C
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 9 N 4TH AVE
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-1836
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Country | US
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Telephone | 641-752-1585
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Fax | 641-752-9665
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Provider Business Mailing Address
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Address Line | 9 N 4TH AVE
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-1836
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Country | US
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Telephone | 641-752-1585
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Fax | 641-752-9665
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00237
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License Number State | IA
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