Provider Demographics
NPI:1356826952
Name:BERTRAND, ANGALEE CATHLYN (PEER SPECIALIST)
Entity Type:Individual
Prefix:
First Name:ANGALEE
Middle Name:CATHLYN
Last Name:BERTRAND
Suffix:
Gender:F
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 ESSLING ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-1331
Mailing Address - Country:US
Mailing Address - Phone:989-332-3654
Mailing Address - Fax:
Practice Address - Street 1:127 N WEADOCK AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48607-1586
Practice Address - Country:US
Practice Address - Phone:989-754-8598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist