Provider Demographics
NPI:1679899249
Name:SZUHAY, DANIEL STEPHEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STEPHEN
Last Name:SZUHAY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 W SUNSET BLVD STE 460
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3262
Mailing Address - Country:US
Mailing Address - Phone:323-412-0919
Mailing Address - Fax:
Practice Address - Street 1:1910 W SUNSET BLVD STE 460
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3262
Practice Address - Country:US
Practice Address - Phone:323-412-0919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2024-08-14
Deactivation Date:2020-09-14
Deactivation Code:
Reactivation Date:2021-02-08
Provider Licenses
StateLicense IDTaxonomies
CA32325103T00000X
CAPSB9020127103TC0700X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program