Provider Demographics
NPI:1841401445
Name:DALEY, CHRISTOPHER THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:DALEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:445 BURGESS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3475
Mailing Address - Country:US
Mailing Address - Phone:156-804-1244
Mailing Address - Fax:503-194-2156
Practice Address - Street 1:445 BURGESS DR STE 150
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-3475
Practice Address - Country:US
Practice Address - Phone:156-804-1244
Practice Address - Fax:503-194-2156
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA964632084P0800X
VT042.00125932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry