Basic Information
Provider Information
NPI: 1225117633
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANGELINI
FirstName: FRANK
MiddleName: J
NamePrefix: DR.
NameSuffix: JR.
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26 LIZBETH LN
Address2:  
City: BERWYN
State: PA
PostalCode: 193121210
CountryCode: US
TelephoneNumber: 6106441365
FaxNumber:  
Practice Location
Address1: 1400 BLACKHORSE HILL RD
Address2:  
City: COATESVILLE
State: PA
PostalCode: 193202040
CountryCode: US
TelephoneNumber: 6103847711
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/04/2006
LastUpdateDate: 02/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPS-009035-LPAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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