Individual
DR. MANJIT KAUR KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
166 VILLAGE ST, MILLIS, MA 02054-1730
(508) 376-8104
Mailing address
166 VILLAGE ST, MILLIS, MA 02054-1730
(508) 376-8104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3142
MA
103TC1900X
Counseling Psychologist
Primary
1715
NM
103TP2701X
Group Psychotherapy Psychologist
3142
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142
STATE LICENSE
MA
Enumeration date
02/06/2007
Last updated
09/11/2025
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