Doctor Name: | MS. DONNA DENESE ATHERTON |
NPI Number: | 1104024959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 780 American Legion Hwy Roslindale, MA - 021313908 |
Business Phone Number: | 6174698500 |
Business Fax Number: | 6174698595 |
Mailing Address: | 7 Oak Ridge Dr W, BROCKTON |
State: | MA |
Postal Code: | 023012143 |
Phone Number: | 5088575504 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |