Provider Demographics
NPI:1225300411
Name:BINKLEY, DARREN MICHAEL
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:MICHAEL
Last Name:BINKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 E GARFIELD AVE
Mailing Address - Street 2:UNIT 5
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2990
Mailing Address - Country:US
Mailing Address - Phone:909-705-6727
Mailing Address - Fax:
Practice Address - Street 1:714 E GARFIELD AVE
Practice Address - Street 2:UNIT 5
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2990
Practice Address - Country:US
Practice Address - Phone:909-705-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist