Provider Demographics
NPI:1679991426
Name:CAYCEDO, DANIEL ALBERT (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALBERT
Last Name:CAYCEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 SILVERSIDE RD STE 33B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4929
Mailing Address - Country:US
Mailing Address - Phone:302-285-9748
Mailing Address - Fax:833-409-2234
Practice Address - Street 1:3524 SILVERSIDE RD STE 33B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4929
Practice Address - Country:US
Practice Address - Phone:302-285-9748
Practice Address - Fax:833-409-2234
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD850882084P0800X
MD850882084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry