Provider Demographics
NPI:1174109268
Name:ANGELA M. DEAN PSYD PLLC
Entity type:Organization
Organization Name:ANGELA M. DEAN PSYD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO,CLINICAL DIRECTOR, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:724-271-8503
Mailing Address - Street 1:6200 BROOKTREE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9299
Mailing Address - Country:US
Mailing Address - Phone:724-271-8503
Mailing Address - Fax:724-590-9766
Practice Address - Street 1:6200 BROOKTREE RD STE 105
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9299
Practice Address - Country:US
Practice Address - Phone:724-271-8503
Practice Address - Fax:724-590-9766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty