Provider Demographics
NPI:1407811458
Name:DIGATONO, DANIEL (PHD,LMFT,LPC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:DIGATONO
Suffix:
Gender:M
Credentials:PHD,LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S JUDY AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7247
Mailing Address - Country:US
Mailing Address - Phone:605-362-1506
Mailing Address - Fax:
Practice Address - Street 1:4410 S TENNIS LN
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2256
Practice Address - Country:US
Practice Address - Phone:605-362-1506
Practice Address - Fax:605-362-5601
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD LPC 527101YP2500X
SDSD MFT 1013103TC1900X, 106H00000X
MNMN MFT 0758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD492912Medicare UPIN
SD4996165Medicare UPIN