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NPI Profile for DANIELLE DETORA in LEXINGTON, MA.
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).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical |
| NPI # | 1194804062 |
|
| Status | Active | |
| Credentials | PSY.D. (Doctor of Psychology) | |
| Entity | Individual | |
| Enumeration date | 11/03/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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DANIELLE DETORA
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DANIELLE DETORA, PSY.D.