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NPI Code Detail

MEDICARE: ALEXANDRA MASTRANGELO LMHC

MEDICARE: ALEXANDRA MASTRANGELO LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorS65053041MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17493OTHERMAMASSACHUSETTS ALLIED HEALTH MENTAL HEALTH COUNSELOR

General Provider Information

NPI Number : 1730403510
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MASTRANGELO LMHC
Provider Business Mailing Address
First Line : 226 LOWELL ST STE B7
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-3073
Country : US
Telephone Number : 781-367-8387
Fax Number :
Provider Business Practice Location Address
First Line : 226 LOWELL ST STE B7
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-3073
Country : US
Telephone Number : 781-367-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2010
Last Update Date : 08/02/2022

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