Individual
DR. DONALD L. ANGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
111 WILLARD ST, QUINCY, MA 02169-1200
(617) 471-9990
Mailing address
111 WILLARD ST, QUINCY, MA 02169-1200
(617) 471-9990
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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