Provider Demographics
NPI:1790203529
Name:RULE, DANIEL KEATING (MSW INTERN)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:KEATING
Last Name:RULE
Suffix:
Gender:M
Credentials:MSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 W MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-5518
Mailing Address - Country:US
Mailing Address - Phone:559-492-9335
Mailing Address - Fax:559-583-9307
Practice Address - Street 1:3014 W MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-5518
Practice Address - Country:US
Practice Address - Phone:559-492-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA$$$$$$$$$AMedicaid