Active NPIIndividual providerSole proprietor

Danielle Detora, PSYD

Psychologist, Health Service in Lexington, Massachusetts

NPI Number1194804062
Practice location
1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317
Fax
—
Last updated
July 8, 2007

Danielle Detora is a Psychologist, Health Service based in Lexington, MA. 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 (MA). The current practice location address for Danielle Detora is 1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317 and can be reached out via phone at 781-862-6772.

Provider Profile Details

NPI Number
1194804062
Provider Name
Danielle Detora
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317
Phone Number
781-862-6772
Primary Taxonomy
Psychologist, Health Service · 103TH0100X
Sole Proprietor
Yes
Provider Enumeration Date
November 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1666 Massachusetts Ave
Suite 3
Lexington, MA 02420-5317
Zip
02420-5317
Phone Number
781-862-6772
Lexington, MA 02420Get directions →

Provider Business Mailing Address Details

Address
1666 Massachusetts Ave
Suite 3
Lexington, MA 02420-5317
City
Lexington
State
MA
Zip
02420-5317
Phone Number
781-862-6772

License Information

License Number
8063
License State
MA
Taxonomy
Psychologist, Health Service · 103TH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Danielle Detora, PSYD?

The NPI number of Danielle Detora, PSYD is 1194804062. It was assigned on November 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Danielle Detora, PSYD?

Danielle Detora, PSYD is registered under the primary taxonomy Psychologist, Health Service (code 103TH0100X), licensed in MA under license number 8063.

Where does Danielle Detora, PSYD practice?

The practice location is 1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317. The office can be reached at 781-862-6772 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194804062 directly on the NPPES registry website.

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