Provider Demographics
NPI:1518249101
Name:THOMAS-BIRKETT, DANYA (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:MS
First Name:DANYA
Middle Name:
Last Name:THOMAS-BIRKETT
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S BUFFALO DR APT 106
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1316
Mailing Address - Country:US
Mailing Address - Phone:702-328-4587
Mailing Address - Fax:
Practice Address - Street 1:1100 S BUFFALO DR APT 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1316
Practice Address - Country:US
Practice Address - Phone:702-328-4587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner