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Contact Information

DANIELLE L DIVELY, PSY. D
7564 WOODBURY PIKE
ROARING SPRING, PA16673
 Phone: 814-729-7316
 Fax: 814-729-7538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DANIELLE L DIVELY · (Female)

NPI Number 1013155027
Status Active
Credentials PSY. D
Entity Individual
Enumeration date 01/29/2009
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # PS016634
  • PA License # PS016634PA
  • PA Medicaid 1007708200003
  • PA Medicaid 102312888
  • PA Medicaid 1023128880002
  • PA Medicaid 1023128880003
  • PA Medicaid 1023128880004
  • PA Other 002106964 HIGHMARK BLUE CROSS BLUE SHIELD
  • PA Other 164856RGD MEDICARE
  • PA Other 000000285381 UNISON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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