Provider Demographics
NPI:1750996179
Name:MEEKER, ANGELINA (LPC, NCC, GCP)
Entity type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:
Last Name:MEEKER
Suffix:
Gender:F
Credentials:LPC, NCC, GCP
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:PRIVITERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1093 DOUGLASS DR APT A
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-7620
Mailing Address - Country:US
Mailing Address - Phone:610-401-1349
Mailing Address - Fax:
Practice Address - Street 1:1093 DOUGLASS DR
Practice Address - Street 2:APT A
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512
Practice Address - Country:US
Practice Address - Phone:610-401-1349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2023-12-07
Deactivation Date:2020-09-15
Deactivation Code:
Reactivation Date:2020-09-30
Provider Licenses
StateLicense IDTaxonomies
PAPC015293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty