Doctor Name: | DANIELLE COGLIANO |
NPI Number: | 1679656151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHCNS-BC |
License Number: | 271422 |
Business Practice Address: | 73 Princeton St Suite 203 N Chelmsford, MA - 018631558 |
Business Phone Number: | 9782566579 |
Business Fax Number: | 9782561943 |
Mailing Address: | 73 Princeton St, Suite 203 N CHELMSFORD |
State: | MA |
Postal Code: | 018631558 |
Phone Number: | 9782566579 |
Fax Number: | 9782561943 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 271422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |