Provider Demographics
NPI:1396201117
Name:DAYAN, DANA (RTD)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:DAYAN
Suffix:
Gender:F
Credentials:RTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CHESWICK CT
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1596
Mailing Address - Country:US
Mailing Address - Phone:202-701-4087
Mailing Address - Fax:
Practice Address - Street 1:111 CHESWICK CT
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1596
Practice Address - Country:US
Practice Address - Phone:202-701-4087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty