Angioli, Shanda M
Angioli, Shanda M is an sole proprietor health care provider with primary practice located at 4640 Cass St # 90422 , San Diego CA 92109-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Angioli, Shanda M can be contacted via phone (858) 274-0874.Contact Information
Primary practice address
4640 Cass St # 90422
San Diego CA 92109-2804
Phone: (858) 274-0874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY30699 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY30699 | California |
Profile Details
| NPI number | 1265997936 |
|---|---|
| LBN Legal business name | Angioli, Shanda M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2019 |
| Last updated | Oct 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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