Provider Demographics
NPI:1821194903
Name:DANIEL, SUE E (MFT)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:E
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 S PECOS RD
Mailing Address - Street 2:BLDG B SUITE 127
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120
Mailing Address - Country:US
Mailing Address - Phone:702-898-1711
Mailing Address - Fax:775-537-2388
Practice Address - Street 1:6550 S PECOS RD
Practice Address - Street 2:BLDG B SUITE 127
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-898-1711
Practice Address - Fax:775-537-2388
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist