| Doctor Name: | DONNA MARIE SOCHA |
| NPI Number: | 1144551771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6330 |
| Business Practice Address: | 1290 Tremont St 2nd Floor, Room 234 Roxbury, MA - 021203432 |
| Business Phone Number: | 6179893171 |
| Business Fax Number: | |
| Mailing Address: | 5 Pleasant Pl, CAMBRIDGE |
| State: | MA |
| Postal Code: | 021393801 |
| Phone Number: | 6174971014 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2010 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |