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Danielle Detora, PSYD
Health Service Psychologist in Lexington, Massachusetts
NPI 1194804062

Danielle Detora is a Health Service Psychologist based in Lexington, MA and is specialized in Health Service. Danielle Detora practices in Lexington, MA and has the professional credentials of PSYD. The NPI Number for Danielle Detora is 1194804062 and holds a License No. 8063 (Massachusetts).

The current practice location address for Danielle Detora is 1666 Massachusetts Ave, Lexington, MA and can be reached out via phone at 781-862-6772.

Location: 1666 Massachusetts Ave, Lexington, MA, 02420-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194804062
Provider Name
Danielle Detora
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1666 Massachusetts Ave, Lexington, MA, 02420-5317
Phone Number
781-862-6772
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1666 Massachusetts Ave
City
Lexington
State
Massachusetts
Zip
02420-5317
Phone Number
781-862-6772
Fax Number
person
Provider Business Mailing Address Details
Address
1666 Massachusetts Ave
City
Lexington
State
Massachusetts
Zip
02420-5317
Phone Number
781-862-6772
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
8063 (Massachusetts)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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