NPI 1124497268
Daniel Little
Practice location
- Address
- 3764 Silverton Street, Boulder, CO 80301
- Phone
- (757) 342-2375
- Mailing address
- 670 Town Center Dr Unit 416, Newport News, VA 23606-4474
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124497268
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Sep 2015
- Record last updated
- 18 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.