Provider Demographics
NPI:1457567992
Name:PRIOR, DANIEL W (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:PRIOR
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 1:1820 CONGRESS CIR APT 3
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-4629
Mailing Address - Country:US
Mailing Address - Phone:907-868-1135
Mailing Address - Fax:
Practice Address - Street 1:6689 SEAFOOD DR
Practice Address - Street 2:CHANGEPOINT
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1578
Practice Address - Country:US
Practice Address - Phone:907-344-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK457101Y00000X
LA552101Y00000X
AK233106H00000X
LA513106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist