Provider Demographics
NPI:1730945098
Name:MURRAY, DANIEL SCOTT (BA, MBA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCOTT
Last Name:MURRAY
Suffix:
Gender:M
Credentials:BA, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 LEONARD WAY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4802
Mailing Address - Country:US
Mailing Address - Phone:951-317-2346
Mailing Address - Fax:
Practice Address - Street 1:4300 LEONARD WAY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4802
Practice Address - Country:US
Practice Address - Phone:951-317-2346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral