Doctor Name: | DANIELLE L DESANTIS |
NPI Number: | 1174724322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTERS, LMFT, PSYD |
License Number: | |
Business Practice Address: | 765 Allens Ave Ste 101 Providence, RI - 029055443 |
Business Phone Number: | 4014908900 |
Business Fax Number: | |
Mailing Address: | 765 Allens Ave Ste 101, PROVIDENCE |
State: | RI |
Postal Code: | 029055443 |
Phone Number: | 4014908900 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |