Angeliqua Mitra, PSY.D.

NPI #1114350733 in Huntington, New York

Provider Information

NPI Number: 1114350733
Entity Type: Individual
Name: Angeliqua Mitra, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 55 HORIZON DR
City: Huntington
State: New York
ZIP Code: 11743-4436
Phone: (631) 920-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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