Provider Demographics
NPI:1154838043
Name:CARREL, DANIELLE PATRICIA
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:PATRICIA
Last Name:CARREL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WILDFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-2858
Mailing Address - Country:US
Mailing Address - Phone:774-254-6180
Mailing Address - Fax:
Practice Address - Street 1:1470 NEW STATE HWY UNIT 20
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5421
Practice Address - Country:US
Practice Address - Phone:617-658-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst