# DR. ANNE CANGELLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336219955
- **Gender:** F
- **Credential:** PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 10483 | MA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 017234 | NY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 10483 | MA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00354316 | — | NY |