Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 8612 | MA |
N | 103TC0700X | Clinical Psychologist | 8612 | MA |
N | 102L00000X | Psychologist | 8612 | MA |
N | 103T00000X | Psychologist | 8612 | MA |
N | 103G00000X | Clinical Psychologist | 8612 | MA |
N | 103TC0700X | Clinical Psychologist | 8612 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8612 | MA |
N | 103TH0100X | Health Service | 8612 | MA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 8612 | MA |
N | 103TP2701X | Group Psychotherapist | 8612 | MA |
NPI | 1639293434 |
---|---|
Provider Name | Dr. Sangeeta Dey |
First Address | Burlington, MA 01803-1433 |
Second Address | Lexington, MA 02421-7607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |