Individual
DR. ANGELA KAY IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6801 LAKE WORTH RD STE 219, GREENACRES, FL 33467-2966
(561) 328-8420
(561) 828-2884
Mailing address
6801 LAKE WORTH RD STE 219, GREENACRES, FL 33467-2966
(561) 328-8420
(561) 828-2884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I615011666221
DRIVERS LICENSE
FL
Enumeration date
03/31/2023
Last updated
03/31/2023
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