Individual
MISS DANIELLE CHARLOTTE AUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 774-6033
Mailing address
7 CENTURY WAY, GARDNER, MA 01440-1268
(617) 834-6881
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9457
MA
Other
Enumeration date
01/12/2007
Last updated
08/28/2012
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