Healthcare Provider Details

I. General information

NPI: 1982475919
Provider Name (Legal Business Name): CHANGE AND MAINTAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MASSACHUSETTS AVE STE 3
ARLINGTON MA
02474-8449
US

IV. Provider business mailing address

226 MASSACHUSETTS AVE STE 3
ARLINGTON MA
02474-8449
US

V. Phone/Fax

Practice location:
  • Phone: 508-203-1069
  • Fax:
Mailing address:
  • Phone: 508-203-1069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE BARRY
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 508-203-1069