Provider Demographics
NPI:1013326610
Name:CANG, HAI
Entity Type:Individual
Prefix:
First Name:HAI
Middle Name:
Last Name:CANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 HARRIET ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2143
Mailing Address - Country:US
Mailing Address - Phone:508-216-6136
Mailing Address - Fax:
Practice Address - Street 1:96 HARRIET ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2143
Practice Address - Country:US
Practice Address - Phone:508-216-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health