Provider Demographics
NPI:1487190450
Name:SINGER, DAN JAY I
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:JAY
Last Name:SINGER
Suffix:I
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DAN
Other - Middle Name:JAY
Other - Last Name:SINGER
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:8512 122ND AVE NE # 122
Mailing Address - Street 2:8512 122 AVE NE #122
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5831
Mailing Address - Country:US
Mailing Address - Phone:206-778-2225
Mailing Address - Fax:
Practice Address - Street 1:1800 112TH AVE NE # 150W
Practice Address - Street 2:1800 112 AVE NE #150W
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2993
Practice Address - Country:US
Practice Address - Phone:425-646-7279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00006638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health