Provider Demographics
NPI:1053146514
Name:ABOAGYE, ANGELINA POKUA
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:POKUA
Last Name:ABOAGYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 THOMPSON RD APT 134
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-4500
Mailing Address - Country:US
Mailing Address - Phone:774-322-7835
Mailing Address - Fax:
Practice Address - Street 1:1094 WORCESTER RD APT 134
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5255
Practice Address - Country:US
Practice Address - Phone:774-322-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health