Doctor Name: | DR. DANIEL RALPH MOROCCO |
NPI Number: | 1073557963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | 2966 |
Business Practice Address: | 10 Main St. Andover, MA - 01810 |
Business Phone Number: | 9782476006 |
Business Fax Number: | 9784746455 |
Mailing Address: | 10 Main St, ANDOVER |
State: | MA |
Postal Code: | 01810 |
Phone Number: | 9782476006 |
Fax Number: | 9784746455 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |