Provider Demographics
NPI:1760520381
Name:BORRELLI, DENISE A (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:A
Last Name:BORRELLI
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4612
Mailing Address - Country:US
Mailing Address - Phone:781-475-2703
Mailing Address - Fax:978-927-3018
Practice Address - Street 1:55 CAMBRIDGE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4612
Practice Address - Country:US
Practice Address - Phone:781-475-2703
Practice Address - Fax:978-927-3018
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA483101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA483OtherMENTAL HEALTH COUNCELOR