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NPI Code Detail

MEDICARE: THE DALE ASSOCIATION, INC.

MEDICARE: THE DALE ASSOCIATION, INC.
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
1251B00000XCase Management Agency
2103TC0700XClinical Psychologist
31041C0700XClinical Social Worker
4163WP0809XAdult Psychiatric/Mental Health Registered Nurse
5164W00000XLicensed Practical Nurse
6225800000XRecreation Therapist
73747P1801XPersonal Care Attendant
8251C00000XDevelopmentally Disabled Services Day Training Agency
9101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1962407783
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE DALE ASSOCIATION, INC.
Provider Business Mailing Address
First Line : 33 ONTARIO ST
Second Line :
City : LOCKPORT
State : NY
Zip : 14094-2815
Country : US
Telephone Number : 716-433-4440
Fax Number :
Provider Business Practice Location Address
First Line : 89 RIVER RD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5713
Country : US
Telephone Number : 716-693-9961
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. MAUREEN WENDT
Credential : CEO
Telephone Number : 716-438-2414
Provider Enumeration Date : 06/17/2005
Last Update Date : 08/05/2022

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