Provider Demographics
NPI:1851788962
Name:ALFREY, DANIELLE D (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:D
Last Name:ALFREY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 HORNBLEND ST STE C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-4095
Mailing Address - Country:US
Mailing Address - Phone:619-880-5711
Mailing Address - Fax:844-322-8886
Practice Address - Street 1:975 HORNBLEND ST STE C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4095
Practice Address - Country:US
Practice Address - Phone:619-880-5711
Practice Address - Fax:844-322-8886
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TH0004X
CA27383103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth