Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 013822 | NY |
Y | 103TC0700X | Clinical Psychologist | 013822 | NY |
NPI | 1013007350 |
---|---|
Provider Name | Dr. Mary I Daly |
First Address | New Haven, CT 06511-3784 |
Second Address | New Haven, CT 06511-3784 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 01/07/2019 |