Provider Demographics
NPI:1144603309
Name:CALDWELL, DANIEL M JR (MA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:M
Last Name:CALDWELL
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4246
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29240-4246
Mailing Address - Country:US
Mailing Address - Phone:803-786-1844
Mailing Address - Fax:803-754-7783
Practice Address - Street 1:3809 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-3533
Practice Address - Country:US
Practice Address - Phone:803-786-1844
Practice Address - Fax:803-754-7783
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health