Provider Demographics
NPI:1922163377
Name:DIEHL, ANGELA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:DIEHL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12358 ALTA TIERRA
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4214
Mailing Address - Country:US
Mailing Address - Phone:210-422-7313
Mailing Address - Fax:210-681-5079
Practice Address - Street 1:8300 TEZEL RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-3016
Practice Address - Country:US
Practice Address - Phone:210-422-7313
Practice Address - Fax:210-681-5079
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4724106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist