Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 9081 | MA |
NPI | 1003214834 |
---|---|
Provider Name | Kyra Battaglia |
First Address | Weymouth, MA 02189-3189 |
Second Address | Weymouth, MA 02189-3189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2014 |
Last Update Date | 04/01/2022 |