Individual provider · Type 1 NPI

Danielle Detora, PSY.D.

Health Service Psychologist · Lexington, MA

NPI number 1194804062 Active

Practice location

1666 Massachusetts Ave, Suite 3
Lexington, MA 02420-5317

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X8063 (MA)

Health Service Psychologist: 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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About NPI 1194804062

Danielle Detora, PSY.D.'s National Provider Identifier is 1194804062, issued on Nov 3, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lexington, MA. The record was last updated on Jul 8, 2007.