Provider Demographics
NPI:1720274236
Name:SPEAKMAN, DANIELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:SPEAKMAN
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 1:1696 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE NUMBER 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1803
Mailing Address - Country:US
Mailing Address - Phone:617-895-8197
Mailing Address - Fax:
Practice Address - Street 1:1696 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE NUMBER 2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1803
Practice Address - Country:US
Practice Address - Phone:617-895-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling