Provider Demographics
NPI:1255896361
Name:DALY, TRISHA (MA HSC)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:DALY
Suffix:
Gender:F
Credentials:MA HSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12146 W 7TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5913
Mailing Address - Country:US
Mailing Address - Phone:303-217-3824
Mailing Address - Fax:
Practice Address - Street 1:12146 W 7TH PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5913
Practice Address - Country:US
Practice Address - Phone:303-217-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health