Provider Demographics
NPI:1720791171
Name:PIERRETTE, DANIE LUBIN (MED)
Entity Type:Individual
Prefix:
First Name:DANIE
Middle Name:LUBIN
Last Name:PIERRETTE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MILTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2927
Mailing Address - Country:US
Mailing Address - Phone:781-344-3400
Mailing Address - Fax:877-353-8608
Practice Address - Street 1:260 MILTON ST STE 101
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2927
Practice Address - Country:US
Practice Address - Phone:781-344-3400
Practice Address - Fax:877-353-8608
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health