Provider Demographics
NPI:1194886358
Name:SECKLER, DONALD ALAN (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALAN
Last Name:SECKLER
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:91 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-2206
Mailing Address - Country:US
Mailing Address - Phone:781-259-1139
Mailing Address - Fax:781-259-1819
Practice Address - Street 1:9 POND LN DAMONMILL SQ
Practice Address - Street 2:SUITE 31A
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2858
Practice Address - Country:US
Practice Address - Phone:978-287-4300
Practice Address - Fax:978-369-0400
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical