Provider Demographics
NPI:1649084666
Name:PHIN, DARYL B (BA, SOCIOLOGY)
Entity type:Individual
Prefix:
First Name:DARYL
Middle Name:B
Last Name:PHIN
Suffix:
Gender:M
Credentials:BA, SOCIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4919
Mailing Address - Country:US
Mailing Address - Phone:302-200-1234
Mailing Address - Fax:302-200-1234
Practice Address - Street 1:719 CENTER ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4919
Practice Address - Country:US
Practice Address - Phone:302-200-1234
Practice Address - Fax:302-200-1234
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No172V00000XOther Service ProvidersCommunity Health Worker