Provider Demographics
NPI:1710014717
Name:DAILEY, PATRICIA POAGE HOUGH (M D)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:POAGE HOUGH
Last Name:DAILEY
Suffix:
Gender:F
Credentials:M D
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Mailing Address - Street 1:751 KELLY ST
Mailing Address - Street 2:BOX 797
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-1918
Mailing Address - Country:US
Mailing Address - Phone:650-906-9855
Mailing Address - Fax:650-728-7920
Practice Address - Street 1:751 KELLY ST
Practice Address - Street 2:BOX 797
Practice Address - City:HALF MOON BAY
Practice Address - State:CA
Practice Address - Zip Code:94019-1918
Practice Address - Country:US
Practice Address - Phone:650-906-9855
Practice Address - Fax:650-728-7920
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2013-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG437362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry