Provider Demographics
NPI:1356610885
Name:DALTON, SYLVIA ELIZABETH (MED)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:ELIZABETH
Last Name:DALTON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 E LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-4418
Mailing Address - Country:US
Mailing Address - Phone:940-297-7110
Mailing Address - Fax:
Practice Address - Street 1:527 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-4418
Practice Address - Country:US
Practice Address - Phone:940-297-7110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst