Provider Demographics
NPI:1104976927
Name:DAURAY, JANET B (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:B
Last Name:DAURAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4508
Mailing Address - Country:US
Mailing Address - Phone:978-921-4242
Mailing Address - Fax:978-922-4268
Practice Address - Street 1:23 ESSEX ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4508
Practice Address - Country:US
Practice Address - Phone:978-921-4242
Practice Address - Fax:978-922-4268
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6909103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling