Individual provider · Type 1 NPI
Sannisha K. Dale, PhD
Health Service Psychologist · Boston, MA
Practice location
Massachusetts General Hospital, 55 Fruit St.
Boston, MA 02114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 10251 (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 1285079855
Sannisha K. Dale, PhD's National Provider Identifier is 1285079855, issued on May 8, 2013. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Boston, MA. The record was last updated on Feb 8, 2016.