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Individual

DR. DONALD L. ANGELL

Active
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Individual

DR. DONALD L. ANGELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2003
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2003
MA
103TA0700X
Adult Development & Aging Psychologist
2003
MA
103TC0700X
Clinical Psychologist
Primary
2003
MA
103TC1900X
Counseling Psychologist
2003
MA
103TF0000X
Family Psychologist
2003
MA
103TH0100X
Health Service Psychologist
2003
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2003
MA
103TR0400X
Rehabilitation Psychologist
2003
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026023
AETNA
MA
01
WO2184
BLUE CROSS
MA
Enumeration date
01/21/2007
Last updated
04/02/2015
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