Provider Demographics
NPI:1124239660
Name:SWITZER, DAISY K (PHD)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:K
Last Name:SWITZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-6109
Mailing Address - Country:US
Mailing Address - Phone:530-272-3626
Mailing Address - Fax:530-272-8913
Practice Address - Street 1:530 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-6109
Practice Address - Country:US
Practice Address - Phone:530-272-3626
Practice Address - Fax:530-272-8913
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20339103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist