MEDICARE: DR. CHRISTOPHER THOMAS DALEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A96463	CA

General Provider Information

NPI Number	:	1841401445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER THOMAS DALEY M.D.

Provider Business Mailing Address
First Line	:	445 BURGESS DR STE 150
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3475
Country	:	US
Telephone Number	:	156-804-1244
Fax Number	:	503-194-2156

Provider Business Practice Location Address
First Line	:	445 BURGESS DR STE 150
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3475
Country	:	US
Telephone Number	:	156-804-1244
Fax Number	:	503-194-2156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	10/17/2022

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