Provider Demographics
NPI:1083263867
Name:JURELLER, DANIEL SCHRIER (PSYD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCHRIER
Last Name:JURELLER
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1473
Mailing Address - Street 2:
Mailing Address - City:EAST ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02643-1473
Mailing Address - Country:US
Mailing Address - Phone:914-960-7605
Mailing Address - Fax:
Practice Address - Street 1:1 ORISSA DR
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653
Practice Address - Country:US
Practice Address - Phone:914-960-7605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10000743103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist