Provider Demographics
NPI:1881045524
Name:NEMETH, DANIEL
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:NEMETH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 N MADISON AVE
Mailing Address - Street 2:APT. 254
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-4458
Mailing Address - Country:US
Mailing Address - Phone:626-379-3567
Mailing Address - Fax:
Practice Address - Street 1:291 N MADISON AVE
Practice Address - Street 2:APT. 254
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-4458
Practice Address - Country:US
Practice Address - Phone:626-379-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF94254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist