Provider Demographics
NPI:1497478416
Name:NORWARD, ANGELA RAQUAL
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RAQUAL
Last Name:NORWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:RAQUAL
Other - Last Name:NORWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MED
Mailing Address - Street 1:225 N PRESIDENTIAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1258
Mailing Address - Country:US
Mailing Address - Phone:484-430-1811
Mailing Address - Fax:
Practice Address - Street 1:225 N PRESIDENTIAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1258
Practice Address - Country:US
Practice Address - Phone:484-430-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor