Provider Demographics
NPI:1124019229
Name:ZABEL, DANIELLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:ZABEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NEWBURY ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1065
Mailing Address - Country:US
Mailing Address - Phone:978-777-7188
Mailing Address - Fax:978-774-1283
Practice Address - Street 1:435 NEWBURY ST
Practice Address - Street 2:SUITE 220
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1065
Practice Address - Country:US
Practice Address - Phone:978-777-7188
Practice Address - Fax:978-774-1283
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4771103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0521132Medicaid
MAW04666OtherBC BS
MA051538000OtherMBH
MAW04666OtherBC BS