Provider Demographics
NPI:1225777451
Name:DALTON, ARTHUR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:DALTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 S BRYN MAWR AVE APT A5
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-4206
Mailing Address - Country:US
Mailing Address - Phone:570-983-5373
Mailing Address - Fax:
Practice Address - Street 1:275 S BRYN MAWR AVE APT A5
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-4206
Practice Address - Country:US
Practice Address - Phone:570-983-5373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019591103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical