Provider Information for 1386078442
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Dr. ROCIO CHANG-ANGULO Psy.D.
Sex: Female
NPI: 1386078442
Last Updated: 2023-01-30
Certification Date: 2023-01-17
Certification Date: 2023-01-17
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386078442 | ||||||||||||||
| Enumeration Date | 2013-08-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 2074 PARK ST STE 203 HARTFORD, CT 06106-2060 United States Phone: 860-680-5461 | Fax: | ||||||||||||||
| Primary Practice Address | 2074 PARK ST STE 203 HARTFORD, CT 06106-2060 United States Phone: 860-680-5461 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 65 KANE STREET | ||||||||||||||
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