Individual
MISS ANGELA MAE VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LIC PSYCHOLOGIST
Contact information
Practice address
1225 6TH AVE, HUNTINGTON, WV 25701-2311
(304) 526-9189
(304) 526-9989
Mailing address
1225 6TH AVE, HUNTINGTON, WV 25701-2311
(304) 526-9189
(304) 526-9989
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
855
WV
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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