Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 9200 | MA |
Y | 103T00000X | Psychologist | 9200 | MA |
N | 103G00000X | Clinical Psychologist | 9200 | MA |
N | 103TC0700X | Clinical Psychologist | 9200 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 9200 | MA |
N | 103TH0100X | Health Service | 9200 | MA |
NPI | 1528375136 |
---|---|
Provider Name | Dr. Anjali Sadhwani |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2010 |
Last Update Date | 02/09/2010 |