| Doctor Name: | DR. DANIELLE MAACK |
| NPI Number: | 1033492913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 51895 |
| Business Practice Address: | 101 Ricky D Britt Sr Blvd Ste 1b Oxford, MS - 386559111 |
| Business Phone Number: | 6622590868 |
| Business Fax Number: | |
| Mailing Address: | 101 Ricky D Britt Sr Blvd Ste 1b, OXFORD |
| State: | MS |
| Postal Code: | 386559111 |
| Phone Number: | 6622590868 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 10/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 51895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |