Panos, Angelea
Panos, Angelea is an sole proprietor health care provider with primary practice located at 11820 S Maple Ridge Cir , Sandy UT 84094-7332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Panos, Angelea can be contacted via phone (801) 671-5226.Contact Information
Primary practice address
11820 S Maple Ridge Cir
Sandy UT 84094-7332
Phone: (801) 671-5226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 116245-2501 | Utah |
Profile Details
| NPI number | 1487232989 |
|---|---|
| LBN Legal business name | Panos, Angelea |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2021 |
| Last updated | Mar 29th, 2021 - about 3 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 | 1487232989 | NPPES |
| Utah | Other | 116245-2501 | STATE OF UTAH: PSYCHOLOGY LICENSE |
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