Individual
ANGELA PACHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.S.
Contact information
Practice address
3753 ATTUCKS DR, POWELL, OH 43065-6080
(614) 470-4466
Mailing address
136 ANTELOPE WAY APT 2D, COLUMBUS, OH 43235-4436
(330) 591-7876
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP00686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15675760
CAQH
OH
Enumeration date
07/28/2022
Last updated
07/28/2022
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