Provider Demographics
NPI:1003962788
Name:SEVERN, DANIEL G (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:SEVERN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:742 CONCERTO DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5972
Mailing Address - Country:US
Mailing Address - Phone:303-870-7847
Mailing Address - Fax:
Practice Address - Street 1:5880 STATE HIGHWAY 67 SOUTH
Practice Address - Street 2:FLORENCE
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226
Practice Address - Country:US
Practice Address - Phone:719-784-9100
Practice Address - Fax:719-784-5065
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2011-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR 450132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry