Provider Demographics
NPI:1467512533
Name:DAYLEY, GLORIA CAROL (LPC)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:CAROL
Last Name:DAYLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 E CARSON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7216
Mailing Address - Country:US
Mailing Address - Phone:480-897-2744
Mailing Address - Fax:480-839-7325
Practice Address - Street 1:1330 E CARSON DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7216
Practice Address - Country:US
Practice Address - Phone:480-897-2744
Practice Address - Fax:480-839-7325
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional