Provider Demographics
NPI:1245463850
Name:DAY, DAVID N (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:DAY
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 1:225 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6625
Mailing Address - Country:US
Mailing Address - Phone:925-846-7768
Mailing Address - Fax:925-846-2113
Practice Address - Street 1:225 SPRING ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6625
Practice Address - Country:US
Practice Address - Phone:925-846-7768
Practice Address - Fax:925-846-2113
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-30
Last Update Date:2009-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7972103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA943071962OtherIRS TIN