Provider Demographics
NPI:1679656151
Name:COGLIANO, DANIELLE (PMHCNS-BC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:COGLIANO
Suffix:
Gender:
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:LEVISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:73 PRINCETON ST STE 304
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1581
Mailing Address - Country:US
Mailing Address - Phone:978-455-3141
Mailing Address - Fax:978-455-3069
Practice Address - Street 1:73 PRINCETON ST STE 304
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1581
Practice Address - Country:US
Practice Address - Phone:978-455-3141
Practice Address - Fax:978-455-3069
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA271422364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult