Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | RS003975L | PA |
Y | 103T00000X | Psychologist | RS003975L | PA |
NPI | 1013097864 |
---|---|
Provider Name | Dr. Daniel P Weldon |
First Address | Doylestown, PA 18901 |
Second Address | Doylestown, PA 18901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |