Individual
NISHA MEGAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W PARK DR STE 280, WESTBOROUGH, MA 01581-3919
(508) 768-8022
Mailing address
19 ORCHARD ST, SOUTHBOROUGH, MA 01772-1455
(508) 768-8022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9613
MA
Other
Enumeration date
05/13/2010
Last updated
12/07/2012
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