Individual
REBECCA ANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 JACKSON ST STE A, LA CROSSE, WI 54601-5800
(608) 784-3165
Mailing address
1800 JACKSON ST STE A, LA CROSSE, WI 54601-5800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2377-057
WI
103TF0200X
Forensic Psychologist
Primary
2377-057
WI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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