Provider Demographics
NPI:1427678127
Name:DOLLINGER, DANIELLE G (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:G
Last Name:DOLLINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CORA CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-6803
Mailing Address - Country:US
Mailing Address - Phone:925-457-0986
Mailing Address - Fax:
Practice Address - Street 1:55 CORA CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-6803
Practice Address - Country:US
Practice Address - Phone:925-457-0986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12345OtherKAISER PERMANENTE