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Individual
DR. ANGELINA MAYNARD
Active
Individual
DR. ANGELINA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP, LSSP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
36943
TX
103TB0200X
Cognitive & Behavioral Psychologist
36943
TX
103TC0700X
Clinical Psychologist
36943
TX
103TC1900X
Counseling Psychologist
36943
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
36943
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
36943
TX
103TS0200X
School Psychologist
70337
TX
Other
Enumeration date
06/21/2012
Last updated
07/21/2022
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