Provider Demographics
NPI:1003985946
Name:CALLIF-DALEY, FAITH ANGELA (MS)
Entity type:Individual
Prefix:MS
First Name:FAITH
Middle Name:ANGELA
Last Name:CALLIF-DALEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS PLZ
Mailing Address - Street 2:DAYTON CHILDREN'S MEDICAL CENTER
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1898
Mailing Address - Country:US
Mailing Address - Phone:937-641-5645
Mailing Address - Fax:937-641-5325
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:DAYTON CHILDREN'S MEDICAL CENTER
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-5645
Practice Address - Fax:937-641-5325
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS