Provider Demographics
NPI:1144537762
Name:MASLER, DANIEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:MASLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:EZEKIEL
Other - Last Name:MASLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2950 NEWMARKET ST # 101-365
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3872
Mailing Address - Country:US
Mailing Address - Phone:206-406-2624
Mailing Address - Fax:
Practice Address - Street 1:2950 NEWMARKET ST # 101-365
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3872
Practice Address - Country:US
Practice Address - Phone:206-406-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60597104103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY60597104OtherWA PSYCHOLOGIST LICENSE