Dr David Frederick Dahl, PHD is a
Clinical Neuropsychologist based in Campbell, California. Dr David Frederick Dahl is licensed to practice in California (license number PSY 19014) and his current practice location is
2542 S Bascom Ave, Ste 265, Campbell, California. He can be reached at his office (for appointments etc.) via phone at
(408) 793-0313.
NPI number for Dr David Frederick Dahl is 1124141031 and his current mailing address is 2542 S Bascom Ave, Ste 265, Campbell, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124141031.
Healthcare Provider's Profile
| Full Name | Dr David Frederick Dahl |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
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| Location | 2542 S Bascom Ave, Campbell, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124141031
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 04/12/2016
Medical Identifiers
Medical identifiers for Dr David Frederick Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124141031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY 19014 (California) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY 19014 (California) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | PSY 19014 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY 19014 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 19014 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY 19014 (California) | Secondary |
| 103TF0000X | Psychologist - Family | PSY 19014 (California) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY 19014 (California) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PSY 19014 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY 19014 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Frederick Dahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Frederick Dahl, PHD
2542 S Bascom Ave, Ste 265,
Campbell, CA 95008-5565
Ph: (408) 793-0313 | Dr David Frederick Dahl, PHD
2542 S Bascom Ave, Ste 265,
Campbell, CA 95008-5565
Ph: (408) 793-0313 |
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