Individual
ANGELA D NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
312 6TH AVE STE 2, SOUTH CHARLESTON, WV 25303-1265
(304) 768-6170
(304) 768-2099
Mailing address
312 6TH AVE STE 2, SOUTH CHARLESTON, WV 25303-1265
(304) 768-6170
(304) 768-2099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
754
WV
103TC0700X
Clinical Psychologist
754
WV
Other
Enumeration date
10/02/2006
Last updated
03/19/2025
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