Individual
DR. ANGELA J. KOESTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1121 GROVE ST, VICKSBURG, MS 39183-2913
(601) 634-0118
(601) 630-0302
Mailing address
16525 HIGHWAY 465, VICKSBURG, MS 39183-7941
(601) 634-0118
(601) 630-0302
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
361
MS
Other
Enumeration date
09/27/2006
Last updated
03/10/2017
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