Doctor Name: | MISS DANIELA MELISSA VASQUEZ |
NPI Number: | 1083082994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 31 Heath St Jamaica Plain, MA - 021301650 |
Business Phone Number: | 6175236400 |
Business Fax Number: | |
Mailing Address: | 31 Heath St, JAMAICA PLAIN |
State: | MA |
Postal Code: | 021301650 |
Phone Number: | 6175236400 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |