Individual
ANGIE BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-6731
Mailing address
245 GASTINEAU RD, SOMERSET, KY 42503-5127
(606) 423-9437
(606) 451-6731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0046
KY
Other
Enumeration date
05/17/2006
Last updated
08/04/2014
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