Provider Demographics
NPI:1447391032
Name:EPPLER, DANIEL B (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:EPPLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 COMMERCENTER E
Mailing Address - Street 2:SUITE #315
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3454
Mailing Address - Country:US
Mailing Address - Phone:909-890-2455
Mailing Address - Fax:909-890-0011
Practice Address - Street 1:1911 COMMERCENTER E
Practice Address - Street 2:SUITE #315
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3454
Practice Address - Country:US
Practice Address - Phone:909-890-2455
Practice Address - Fax:909-890-0011
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY-13674103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical