Provider Demographics
NPI:1831380997
Name:DALEY, GILLIAN
Entity type:Individual
Prefix:
First Name:GILLIAN
Middle Name:
Last Name:DALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MONTAGUE RD
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-9524
Mailing Address - Country:US
Mailing Address - Phone:413-203-3062
Mailing Address - Fax:
Practice Address - Street 1:75 MONTAGUE RD
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-9524
Practice Address - Country:US
Practice Address - Phone:413-203-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife