Individual
DR. ANGELIQUE CHANTEL DEMONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS, MSCP
Contact information
Practice address
1208 SW HARPER RD, PORT ORCHARD, WA 98367-7555
(240) 463-3069
Mailing address
8611 HOLLY POND PL, MONTGOMERY VILLAGE, MD 20886-4941
(301) 295-2457
(301) 295-6720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60189001
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2007
Last updated
08/05/2019
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