Provider Demographics
NPI:1497887780
Name:KAMYA, HUGO ATHANASIUS (PHD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:ATHANASIUS
Last Name:KAMYA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 MASS AVE
Mailing Address - Street 2:SUITE 3 & 4
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476
Mailing Address - Country:US
Mailing Address - Phone:781-643-9099
Mailing Address - Fax:781-643-6445
Practice Address - Street 1:661 MASS AVE
Practice Address - Street 2:SUITE 3 & 4
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476
Practice Address - Country:US
Practice Address - Phone:781-643-9099
Practice Address - Fax:781-643-6445
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6853103TC0700X
MA10202731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1893114OtherMASS HEALTH
MAP06109OtherBCBS