Provider Demographics
NPI:1508866781
Name:DALEO, DAVID V (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:DALEO
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 1:9200 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4687
Mailing Address - Country:US
Mailing Address - Phone:310-956-2345
Mailing Address - Fax:310-728-6372
Practice Address - Street 1:9200 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4687
Practice Address - Country:US
Practice Address - Phone:310-956-2345
Practice Address - Fax:310-728-6372
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18066103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist