Individual
DR. ANGELA ANNETTE PRIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 2402, JACKSONVILLE, FL 32216-8200
(904) 399-0324
(904) 944-4379
Mailing address
6817 SOUTHPOINT PKWY STE 2402, JACKSONVILLE, FL 32216-8200
(904) 399-0324
(904) 944-4379
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2850
NC
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY11215
FL
103TC0700X
Clinical Psychologist
2850
NC
103TC2200X
Clinical Child & Adolescent Psychologist
2850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000689
—
NC
Enumeration date
07/07/2006
Last updated
11/12/2021
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