Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 4771 | MA |
NPI | 1124019229 |
---|---|
Provider Name | Dr. Danielle Zabel |
First Address | Danvers, MA 01923-1065 |
Second Address | Danvers, MA 01923-1065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 01/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051538000 | MBH (01) | MA |
0521132 | (05) | MA |
W04666 | BC BS (01) | MA |