| Doctor Name: | ANGELA E RADAN |
| NPI Number: | 1013080563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 8504 |
| Business Practice Address: | 119 Windsor St Cambridge, MA - 021393647 |
| Business Phone Number: | 6176653925 |
| Business Fax Number: | |
| Mailing Address: | 119 Windsor St, CAMBRIDGE |
| State: | MA |
| Postal Code: | 021393647 |
| Phone Number: | 6176653925 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 09/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |