Provider Demographics
NPI:1336468776
Name:DALEY, CYNTHIA CHANG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CHANG
Last Name:DALEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1369 E LEVEL ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-3548
Mailing Address - Country:US
Mailing Address - Phone:818-851-8879
Mailing Address - Fax:
Practice Address - Street 1:750 TERRADO PLZ STE 122
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3411
Practice Address - Country:US
Practice Address - Phone:626-331-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA267321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical