Provider Demographics
NPI:1417092487
Name:ESHLEMAN, DALE D (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:D
Last Name:ESHLEMAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 E ROBINSON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2004
Mailing Address - Country:US
Mailing Address - Phone:407-423-3327
Mailing Address - Fax:407-843-1860
Practice Address - Street 1:1021 E ROBINSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2004
Practice Address - Country:US
Practice Address - Phone:407-423-3327
Practice Address - Fax:407-843-1860
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist