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Namita Mattu
Student in an Organized Health Care Education/Training Program in Charlestown, Massachusetts
NPI 1073130506

Namita Mattu is a Student in an Organized Health Care Education/Training Program based in Charlestown, MA. Namita Mattu practices in Charlestown, MA. The NPI Number for Namita Mattu is 1073130506 and holds a License No. 187312 (Massachusetts).

The current practice location address for Namita Mattu is 275 Medford St Apt 216, Charlestown, MA and can be reached out via phone at 510-289-0826.

Location: 275 Medford St Apt 216, Charlestown, MA, 02129-1989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073130506
Provider Name
Namita Mattu
Credential
Provider Entity Type
Individual
Gender
Female
Address
275 Medford St Apt 216, Charlestown, MA, 02129-1989
Phone Number
510-289-0826
Fax Number
Provider Enumeration Date
06/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
275 Medford St Apt 216
City
Charlestown
State
Massachusetts
Zip
02129-1989
Phone Number
510-289-0826
Fax Number
person
Provider Business Mailing Address Details
Address
275 Medford St Apt 216
City
Charlestown
State
Massachusetts
Zip
02129-1989
Phone Number
510-289-0826
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
187312 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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