Provider Demographics
NPI:1508081407
Name:WERNER, DANIEL F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:WERNER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 HAMILTON BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-8942
Mailing Address - Country:US
Mailing Address - Phone:610-395-5188
Mailing Address - Fax:610-966-0466
Practice Address - Street 1:5920 HAMILTON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-8942
Practice Address - Country:US
Practice Address - Phone:610-395-5188
Practice Address - Fax:610-966-0466
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008925L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
058623Medicare ID - Type UnspecifiedGROUP