Organization
DR. AMANDA D'ANGELO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA D'ANGELO (LICENSED PSYCHOLOGIST)
(252) 725-1713
Entity
Organization
Contact information
Practice address
3907 WRIGHTSVILLE AVE STE 110, WILMINGTON, NC 28403-6251
(910) 799-6162
Mailing address
3516 AMBER DR, WILMINGTON, NC 28409-2569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649636218
BLUE CROSS BLUE SHIELD NORTH CAROLINA
—
Enumeration date
11/16/2017
Last updated
11/16/2017
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