Provider Demographics
NPI:1275711939
Name:DALEY, DENNIS C (PHD, LSW)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:DALEY
Suffix:
Gender:M
Credentials:PHD, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 OHARA ST
Mailing Address - Street 2:(RM 914 OXFORD)
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2593
Mailing Address - Country:US
Mailing Address - Phone:412-246-5910
Mailing Address - Fax:412-246-5980
Practice Address - Street 1:3501 FORBES AVE
Practice Address - Street 2:SUITE 914 OXFORD BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3317
Practice Address - Country:US
Practice Address - Phone:412-246-5935
Practice Address - Fax:412-246-5980
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAE02100441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE0210044OtherPENNA STATE