Provider Demographics
NPI:1275890139
Name:EILAND, DANIELE ANNETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIELE
Middle Name:ANNETTE
Last Name:EILAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 S WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3631
Mailing Address - Country:US
Mailing Address - Phone:517-321-5900
Mailing Address - Fax:517-332-4452
Practice Address - Street 1:5031 PARK LAKE RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3835
Practice Address - Country:US
Practice Address - Phone:517-332-0811
Practice Address - Fax:517-332-4452
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist