Provider Demographics
NPI:1568785152
Name:DAELEMANS, SVEN (PHD)
Entity Type:Individual
Prefix:
First Name:SVEN
Middle Name:
Last Name:DAELEMANS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9741 PRESTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2585
Mailing Address - Country:US
Mailing Address - Phone:214-385-8842
Mailing Address - Fax:
Practice Address - Street 1:9741 PRESTON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2585
Practice Address - Country:US
Practice Address - Phone:214-385-8842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11653101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional