Provider Demographics
NPI:1598416182
Name:GILLESPIE, ANGELA REYER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:REYER
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 GOODLEY RD
Mailing Address - Street 2:
Mailing Address - City:GARNET VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19060-1910
Mailing Address - Country:US
Mailing Address - Phone:484-744-3680
Mailing Address - Fax:
Practice Address - Street 1:104 COMMONS CT
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9708
Practice Address - Country:US
Practice Address - Phone:484-744-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional