Provider Demographics
NPI:1588038087
Name:DALEY, SYLVIA ROSALIE (LADCI, RN, CADACII)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ROSALIE
Last Name:DALEY
Suffix:
Gender:F
Credentials:LADCI, RN, CADACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3614
Mailing Address - Country:US
Mailing Address - Phone:978-340-4640
Mailing Address - Fax:774-202-2441
Practice Address - Street 1:68 NO. FRONT ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:978-992-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA13644824Medicaid