Individual
DR. ROBERT DANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3303 MAIN ST, SUITE 304, HOUSTON, TX 77002-9322
(713) 898-0661
(206) 984-9632
Mailing address
4618 WOODSIDE ST, HOUSTON, TX 77023-1222
(713) 898-0661
(206) 984-9632
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00083P
BCBS
TX
01
—
10012380
AMERIGROUP
TX
01
—
2164946
COMPSYCH
TX
Enumeration date
01/06/2006
Last updated
08/27/2007
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