Individual
DR. MICHAEL DEANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3 COOPER PLZ RM 513, CAMDEN, NJ 08103
(856) 963-3715
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00597600
NJ
103T00000X
Psychologist
—
—
207RI0200X
Infectious Disease Physician
35SI00597600
NJ
Other
Enumeration date
11/20/2018
Last updated
04/17/2019
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