Provider Demographics
NPI:1184435943
Name:ANGSTMAN, CAMARA
Entity type:Individual
Prefix:
First Name:CAMARA
Middle Name:
Last Name:ANGSTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAMMIE
Other - Middle Name:
Other - Last Name:ANGSTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3727 DEEP RIVER RD
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658-9458
Mailing Address - Country:US
Mailing Address - Phone:810-487-5571
Mailing Address - Fax:
Practice Address - Street 1:3727 DEEP RIVER RD
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658-9458
Practice Address - Country:US
Practice Address - Phone:810-487-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician