Provider Demographics
NPI:1235637265
Name:VILLIERS, DANIEL PER (PHD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PER
Last Name:VILLIERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S BOUNDARY AVE SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4642
Mailing Address - Country:US
Mailing Address - Phone:860-992-2453
Mailing Address - Fax:
Practice Address - Street 1:75 HOLLY HILL LN STE 300
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-2918
Practice Address - Country:US
Practice Address - Phone:203-489-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health