Long, Angela Dale

Long, Angela Dale is an individual health care provider with primary practice located at 1 Trafalgar Sq Ste 204 , Nashua NH 03063-1998. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long, Angela Dale can be contacted via phone (603) 577-5517.

Contact Information

Primary practice address
1 Trafalgar Sq Ste 204 Nashua NH 03063-1998
Phone: (603) 577-5517
Fax: (603) 402-3551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 980 New Hampshire

Profile Details

NPI number 1699826412
LBN Legal business name Long, Angela Dale
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 24th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699826412 NPPES
New Hampshire Other 51-0566390 CIGNA
New Hampshire Other 385828 CIGNA
New Hampshire Other 51-0566390-01 CIGNA
New Hampshire MEDICAID 30424141 CIGNA
New Hampshire Other 14Y001084NH03 CIGNA

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