Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103G00000X | Clinical Psychologist | 6998 | MA |
N | 103TC0700X | Clinical Psychologist | 6998 | MA |
N | 103TH0004X | Health Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1235522970 |
---|---|
Provider Name | Dr. Sonia Gyan |
First Address | Concord, MA 01742-2131 |
Second Address | Concord, MA 01742-2131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2015 |
Last Update Date | 24/04/2015 |