De Varona, Angela
De Varona, Angela is an individual health care provider with primary practice located at 1702 S Hawthorne Rd , Winston Salem NC 27103-4016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. De Varona, Angela can be contacted via phone (336) 659-8301.Contact Information
Primary practice address
1702 S Hawthorne Rd
Winston Salem NC 27103-4016
Phone: (336) 659-8301
Fax: (336) 659-9361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1689780322 |
|---|---|
| LBN Legal business name | De Varona, Angela |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Feb 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689780322 | NPPES |
| North Carolina | Other | 045U0 | BLUECROSSPROVIDER# |
| North Carolina | Other | 1897 | BLUECROSSPROVIDER# |
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