Provider Demographics
NPI:1396977302
Name:GAYLINN, DANIEL L (MA, PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:GAYLINN
Suffix:
Gender:M
Credentials:MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SACRAMENTO ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3407
Mailing Address - Country:US
Mailing Address - Phone:415-779-2438
Mailing Address - Fax:415-563-2457
Practice Address - Street 1:2084 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4145
Practice Address - Country:US
Practice Address - Phone:415-779-2438
Practice Address - Fax:415-563-2457
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist