Individual
MIATTA KANGEE-CARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAGS, NCSP, LEP
Contact information
Practice address
399 BOYLSTON ST STE 900, BOSTON, MA 02116-3305
(617) 207-4073
Mailing address
65 TAUNTON AVE, HYDE PARK, MA 02136-6084
(617) 501-6511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1193
MA
Other
Enumeration date
08/03/2018
Last updated
11/18/2019
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