Individual
DR. ANGEL J. L. CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
538 MAIN ST, BAY SAINT LOUIS, MS 39520-2730
(228) 469-0094
Mailing address
538 MAIN ST, BAY SAINT LOUIS, MS 39520-2730
(228) 469-0094
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
42-688
MS
Other
Enumeration date
06/29/2010
Last updated
03/30/2020
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