Provider Demographics
NPI:1992312755
Name:ENGMANN, DANIEL
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ENGMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UNION ST STE 306
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1147
Mailing Address - Country:US
Mailing Address - Phone:774-559-4541
Mailing Address - Fax:508-459-0092
Practice Address - Street 1:51 UNION ST STE 306
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1147
Practice Address - Country:US
Practice Address - Phone:774-559-4541
Practice Address - Fax:508-459-0092
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service