Individual
ANGELA DIANE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0818
(877) 477-0366
Mailing address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0818
(877) 477-0366
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162269801
—
TX
05
—
162269805
—
TX
05
—
162269806
—
TX
05
—
162269807
—
TX
Enumeration date
04/07/2006
Last updated
11/21/2013
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