Provider Demographics
NPI:1316677370
Name:SICKAU, DAYNA (MHC-P)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:SICKAU
Suffix:
Gender:F
Credentials:MHC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3946 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3721
Mailing Address - Country:US
Mailing Address - Phone:716-225-0097
Mailing Address - Fax:
Practice Address - Street 1:2101 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:NORTH COLLINS
Practice Address - State:NY
Practice Address - Zip Code:14111-9701
Practice Address - Country:US
Practice Address - Phone:716-337-3706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health