Detora, Danielle
Detora, Danielle is an sole proprietor health care provider with primary practice located at 1666 Massachusetts Ave Suite 3, Lexington MA 02420-5317. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Detora, Danielle can be contacted via phone (781) 862-6772.Contact Information
Primary practice address
1666 Massachusetts Ave Suite 3
Lexington MA 02420-5317
Phone: (781) 862-6772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 8063 | Massachusetts |
Profile Details
| NPI number | 1194804062 |
|---|---|
| LBN Legal business name | Detora, Danielle |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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