Provider Demographics
NPI:1700763075
Name:MAY, DANIELLE (NCSP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 S WYNN WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN WYOMING
Mailing Address - State:DE
Mailing Address - Zip Code:19934-4454
Mailing Address - Country:US
Mailing Address - Phone:412-576-6380
Mailing Address - Fax:
Practice Address - Street 1:10990 RIVER RD
Practice Address - Street 2:
Practice Address - City:RIDGELY
Practice Address - State:MD
Practice Address - Zip Code:21660-1815
Practice Address - Country:US
Practice Address - Phone:410-479-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCER-74131-H2L152103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool