Individual
DR. ANGELA MARIE CHANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1895 E ROSEVILLE PKWY, SUITE 190, ROSEVILLE, CA 95661-7976
(916) 439-5638
(916) 774-6018
Mailing address
1895 E ROSEVILLE PKWY, SUITE 190, ROSEVILLE, CA 95661-7976
(916) 439-5638
(916) 774-6018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY20014
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY20014
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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