DANIELLE DETORA PSY.D. NPI 1194804062

NPI Information

  • NPI: 1194804062
  • Provider Name: DANIELLE DETORA, PSY.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 1666 MASSACHUSETTS AVE
    SUITE 3
    LEXINGTON, MA
    ZIP 02420
  • Phone: (781) 862-6772

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NPI Details

Danielle Detora, PSY.D. is a health service psychologist in Lexington, MA. The provider is 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). Danielle Detora, PSY.D. NPI is 1194804062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1666 MASSACHUSETTS AVE
SUITE 3
LEXINGTON, MA
ZIP 02420-317
Phone: (781) 862-6772

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service8063MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE W51215MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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