Provider Demographics
NPI:1073211694
Name:VOLMAR MATHIEU, ANGELLA EMILIENNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELLA
Middle Name:EMILIENNE
Last Name:VOLMAR MATHIEU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:ANGELLA
Other - Middle Name:EMILIENNE
Other - Last Name:VOLMAR MATHIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:URB. PRADERA CALLE 12 AP26
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4049
Mailing Address - Country:US
Mailing Address - Phone:787-633-2182
Mailing Address - Fax:
Practice Address - Street 1:URB. PRADERA CALLE 12 AP26
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-0094
Practice Address - Country:US
Practice Address - Phone:787-633-2182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7652103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty