Individual
DR. DAVID ALAN DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
93 UNION ST, SUITE 401-A, NEWTON CENTER, MA 02459-2244
(617) 332-7733
Mailing address
93 UNION ST, SUITE 401-A, NEWTON CENTER, MA 02459-2244
(617) 332-7733
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
3960-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DAW03940
BCBS
MA
Enumeration date
11/16/2006
Last updated
07/08/2007
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