Individual
DR. DENISE COPPOLA HENNEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
451 ANDOVER ST, SUITE 301, NORTH ANDOVER, MA 01845-5044
(617) 388-7182
Mailing address
451 ANDOVER ST, SUITE 301, NORTH ANDOVER, MA 01845-5044
(617) 388-7182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8868
MA
Other
Enumeration date
05/17/2007
Last updated
07/20/2011
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