IndividualActive
Danielle Detora, PSY.D.
NPI 1194804062 · Health Service Psychologist · Lexington, MA
Provider details
- NPI number
- 1194804062
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8063 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1666 Massachusetts Ave
Suite 3
Lexington, MA 02420-5317
Phone: (781) 862-6772
Approximate (ZIP-level) locationGet directions
Mailing address
1666 Massachusetts Ave
Lexington, MA 02420-5317
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.