Individual
DR. ANGELICA VAN WAGENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2000 15TH ST N, ARLINGTON, VA 22201-2683
(845) 235-0320
Mailing address
12922 LYME BAY DR, HERNDON, VA 20171-2612
(845) 235-0320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005915
VA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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