| Angela Vang, Psychotherapy Llc | |
|
402a Highland Ave Rm F Somerville MA 02144-2511 | |
| (857) 321-3400 | |
| Not Available |
| Full Name | Angela Vang, Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 402a Highland Ave Rm F, Somerville, Massachusetts |
| Authorized Official Name and Position | Angela Vang (DIRECTOR) |
| Authorized Official Contact | 8573213400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Vang, Psychotherapy Llc 11 Park Street Ct Medford MA 02155-3902 Ph: (857) 321-3400 | Angela Vang, Psychotherapy Llc 402a Highland Ave Rm F Somerville MA 02144-2511 Ph: (857) 321-3400 |
| NPI Number | 1063819118 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Medicare PECOS PAC ID | 9537484498 |
|---|---|
| Medicare Enrollment ID | O20150217001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063819118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela E Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669594784 PECOS PAC ID: 2860553682 Enrollment ID: I20081211000228 |
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