Provider Demographics
NPI:1922674118
Name:SCHLESINGER, ANGELINA L
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:L
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 ROLLING OAK CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-1000
Mailing Address - Country:US
Mailing Address - Phone:701-527-4457
Mailing Address - Fax:
Practice Address - Street 1:531 ROLLING OAK CT
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-1000
Practice Address - Country:US
Practice Address - Phone:701-527-4457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician