Provider Demographics
NPI:1942533765
Name:DAILY, STEVEN GERALD (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GERALD
Last Name:DAILY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4558
Mailing Address - Country:US
Mailing Address - Phone:909-796-3510
Mailing Address - Fax:909-796-0044
Practice Address - Street 1:1137 BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4558
Practice Address - Country:US
Practice Address - Phone:909-796-3510
Practice Address - Fax:909-796-0044
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18325103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist