Mitra, Angeliqua

Mitra, Angeliqua is an individual health care provider with primary practice located at 55 Horizon Dr , Huntington NY 11743-4436. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mitra, Angeliqua can be contacted via phone (631) 920-8004.

Contact Information

Primary practice address
55 Horizon Dr Huntington NY 11743-4436
Phone: (631) 920-8004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1114350733
LBN Legal business name Mitra, Angeliqua
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Aug 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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