Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6909 | MA |
NPI | 1104976927 |
---|---|
Provider Name | Dr. Janet B Dauray |
First Address | Beverly, MA 01915-4508 |
Second Address | Beverly, MA 01915-4508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |