Individual provider · Type 1 NPI
Danielle Detora, PSY.D.
Health Service Psychologist · Lexington, MA
Practice location
1666 Massachusetts Ave, Suite 3
Lexington, MA 02420-5317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 8063 (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).
6 other providers at this address
- Think-Diff InstituteCommunity/Behavioral Health Agency Lexington, MA NPI 1740616556
- Celeste BouchardClinical Social Worker Lexington, MA NPI 1265067946
- Deborah Olds Clendaniel, LICSWClinical Social Worker Lexington, MA NPI 1144387564
- Judy Ann Wilkinson, LMHCMental Health Counselor Lexington, MA NPI 1720393275
- Lisa HolahanMental Health Counselor Lexington, MA NPI 1720648785
- Susan M. Culman, PhDPsychologist Lexington, MA NPI 1982730172
Other health service psychologist providers in Lexington
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.