Provider Demographics
NPI:1851172530
Name:TONSOLINE, ANGELA R (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:R
Last Name:TONSOLINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 FOX RUN PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-5382
Mailing Address - Country:US
Mailing Address - Phone:605-665-0258
Mailing Address - Fax:
Practice Address - Street 1:2703 FOX RUN PKWY STE 200
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-5382
Practice Address - Country:US
Practice Address - Phone:605-665-0258
Practice Address - Fax:605-665-2707
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist