Provider Demographics
NPI:1982933495
Name:MACGUIRE, DANIELLE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:MACGUIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 JOHN ROBERT THOMAS DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2652
Mailing Address - Country:US
Mailing Address - Phone:610-825-9400
Mailing Address - Fax:
Practice Address - Street 1:525 PLYMOUTH RD
Practice Address - Street 2:SUITE 308
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1640
Practice Address - Country:US
Practice Address - Phone:610-825-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO16494103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical