Provider Demographics
NPI:1508676768
Name:ANGELONI, ANYA MARIE (MSED, NCC)
Entity type:Individual
Prefix:
First Name:ANYA
Middle Name:MARIE
Last Name:ANGELONI
Suffix:
Gender:F
Credentials:MSED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 675
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-0675
Mailing Address - Country:US
Mailing Address - Phone:732-841-7271
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 675
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-0675
Practice Address - Country:US
Practice Address - Phone:732-841-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health