| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIELLE SAMPLE | 1043887359 | 2021-06-06 |
Danielle Sample is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043887359. Registration indicates Danielle Sample is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Danielle Sample |
| Practice Office Address | 793 WASHINGTON ST CANTON, MA US |
| Practice Office Telephone | 7812059304 |
| Mailing Address | 793 WASHINGTON ST CANTON, MA 020213023 US |
| Business Telephone | 7812059304 |
| Other URL [] | None |
| Code | Practice | License No State |
|---|---|---|
| 103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers |