Provider Demographics
NPI:1396910980
Name:VALI, ANGELA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:VALI
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 1:6951 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 302B
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5713
Mailing Address - Country:US
Mailing Address - Phone:972-207-3763
Mailing Address - Fax:
Practice Address - Street 1:6951 VIRGINIA PKWY
Practice Address - Street 2:SUITE 302B
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5713
Practice Address - Country:US
Practice Address - Phone:972-207-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35174103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist