Provider Demographics
NPI:1003945148
Name:DALEY, BARBARA SABIN
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:SABIN
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 1:42 WASHINGTON ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-1803
Mailing Address - Country:US
Mailing Address - Phone:781-416-1919
Mailing Address - Fax:781-236-9017
Practice Address - Street 1:42 WASHINGTON ST
Practice Address - Street 2:STE. 100
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-1803
Practice Address - Country:US
Practice Address - Phone:781-416-1919
Practice Address - Fax:781-236-9017
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1016980OtherBEACON HLTH STRAT. #
331127OtherMAGELLEN PROVIDER NUMBER
61923-79077OtherUBH PROVIDER #
MA405944OtherTUFTS HLTH PLN PROVIDER #
MAWO5208OtherBLUE CROSS PROVIDER NUMBE
MA330653OtherHARVARD PILGRIM PROVIDER
MAWO5208OtherBLUE CROSS PROVIDER NUMBE