D'Angelo, Gregg

D'Angelo, Gregg is an individual health care provider with primary practice located at 11882 Greenville Ave Ste 121 , Dallas TX 75243-3567. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. D'Angelo, Gregg can be contacted via phone (972) 424-9212.

Contact Information

Primary practice address
11882 Greenville Ave Ste 121 Dallas TX 75243-3567
Phone: (972) 424-9212
Fax: (972) 509-1450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 24947 Texas

Profile Details

NPI number 1598776593
LBN Legal business name D'Angelo, Gregg
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 17th, 2014 - about 11 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 1598776593 NPPES
Texas Other 24947 TEXAS LICENSE
Texas Other 86850A TEXAS LICENSE
Texas MEDICAID 0310641 02 TEXAS LICENSE

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