Individual
MS. HEENA R MANGLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-5600
Mailing address
1 CANAL ST UNIT 901, BOSTON, MA 02114-2060
(848) 219-5887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000255
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
09/28/2023
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