Angela De Varona in Winston Salem - Clinical Child & Adolescent
Angela De Varona - NPI 1689780322
Angela De Varona is a Clinical Child & Adolescent in Winston Salem, North Carolina. Angela De Varona practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Angela De Varona is 1689780322. The last update date is 2012-02-02.
Angela De Varona's current location address is 1702 S Hawthorne Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3366598301 and fax number 3366599361. The mailing address for Angela De Varona is 1702 S Hawthorne Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela De Varona |
|---|---|
| Address | 1702 S Hawthorne Rd, Winston Salem, North Carolina |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689780322 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
| Address | 1702 S Hawthorne Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271034016 |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 045U0 | NC | BLUECROSSPROVIDER# | |
| 1897 | NC | NC PSYCHOLOGY LICENSE# |
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What is the unique identifier code issued to Angela De Varona by the Centers for Medicare & Medicaid Services?
The Angela De Varona has been assigned the NPI (National Provider Identifier) 1689780322. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Angela De Varona located?
The Angela De Varona is located at 1702 S Hawthorne Rd, Winston Salem, NC 271034016.
What is the Angela De Varona's specialty and taxonomy code?
The Angela De Varona's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Angela De Varona receive the assignment of its 1689780322 from the Centers for Medicare & Medicaid Services?
The Angela De Varona was issued its 1689780322 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information pertaining to Angela De Varona most recently updated or revised?
The details related to Angela De Varona, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-02.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH