| Doctor Name: | DR. DANIELLE ANDREA WAHBA |
| NPI Number: | 1194811448 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., PSY.D. |
| License Number: | 8302 |
| Business Practice Address: | 354 W Boylston St Suite 224 West Boylston, MA - 015832373 |
| Business Phone Number: | 5087911454 |
| Business Fax Number: | 5087913318 |
| Mailing Address: | 354 W Boylston St Ste 224, Family Works Psychological And Assessment Services, Llc WEST BOYLSTON |
| State: | MA |
| Postal Code: | 015832373 |
| Phone Number: | 5087911454 |
| Fax Number: | 5087913318 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |