Provider Demographics
NPI:1659342590
Name:VOLK, DANIEL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:VOLK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:57 MONTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3335
Mailing Address - Country:US
Mailing Address - Phone:415-381-2663
Mailing Address - Fax:510-521-8253
Practice Address - Street 1:6 KNOLL LN
Practice Address - Street 2:SUITE F
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2326
Practice Address - Country:US
Practice Address - Phone:415-389-0235
Practice Address - Fax:510-521-8253
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY8948103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY8948OtherLICENSED PSYCHOLOGIST