Provider Demographics
NPI:1376012443
Name:TORRES, DANNEZA (MASTERS)
Entity Type:Individual
Prefix:
First Name:DANNEZA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1725
Mailing Address - Country:US
Mailing Address - Phone:978-710-9441
Mailing Address - Fax:508-449-3962
Practice Address - Street 1:144 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1725
Practice Address - Country:US
Practice Address - Phone:978-710-9441
Practice Address - Fax:508-449-3962
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health