Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2515 | WA |
NPI | 1124242672 |
---|---|
Provider Name | Dr. Angela Marie Hungelmann |
First Address | Seattle, WA 98112-4214 |
Second Address | Seattle, WA 98112-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |