Provider Demographics
NPI:1700139326
Name:DANIEL L PRICE PSYDPC
Entity type:Organization
Organization Name:DANIEL L PRICE PSYDPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-829-6685
Mailing Address - Street 1:206 S EAST ST
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3104
Mailing Address - Country:US
Mailing Address - Phone:540-829-6685
Mailing Address - Fax:540-829-6816
Practice Address - Street 1:206 S EAST ST
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3104
Practice Address - Country:US
Practice Address - Phone:540-829-6685
Practice Address - Fax:540-829-6816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA319251S00000X
VA0810001765251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health