Individual
ANGELA CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
(701) 746-9341
Mailing address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
(701) 746-9341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
266
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18239
—
ND
01
—
7H491CH
BC/BS MN GRP # AW5G323DA
MN
05
—
7H491CH
—
MN
01
—
A004
WPS
—
01
—
CHE24777
BLUE CROSS/BLUE SHIELD ND
ND
Enumeration date
07/17/2006
Last updated
07/09/2007
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