Individual
ANGELA DYSANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9532 KALE PL, DIAMONDHEAD, MS 39525-4113
(480) 321-6461
Mailing address
9532 KALE PL, DIAMONDHEAD, MS 39525-4113
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
170201311
CA
103TS0200X
School Psychologist
201686
NV
103TS0200X
School Psychologist
Primary
326281
MS
103TS0200X
School Psychologist
4670968
AZ
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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