Individual
DR. ANGELA THERESA PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(473) 442-2311
Mailing address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(473) 442-2311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13-02AP-PL
AR
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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