Provider Demographics
NPI:1174614515
Name:GALANT, DANIEL MORRIS (PHD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:MORRIS
Last Name:GALANT
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 1:8950 VILLA LA JOLLA DRIVE
Mailing Address - Street 2:SUITE B214
Mailing Address - City:LA JOLL
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1708
Mailing Address - Country:US
Mailing Address - Phone:858-546-1100
Mailing Address - Fax:855-455-0141
Practice Address - Street 1:8950 VILLA LA JOLLA DRIVE
Practice Address - Street 2:SUITE B214
Practice Address - City:LA JOLL
Practice Address - State:CA
Practice Address - Zip Code:92037-1708
Practice Address - Country:US
Practice Address - Phone:858-546-1100
Practice Address - Fax:855-455-0141
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18543103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical