SearchPennsylvania225700000X

Daniel Vidal, LMT, CNS

NPI 1992546980 · on the registry since 2024 · sole proprietor

Practice

Address
100 W Evergreen Ave
Philadelphia, PA 19118
Phone
(267) 415-6003
Organisation at this address
Shadana Davis, Psyd Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania