Dr. Clyde T Angel
Pastoral Counselor
1670 Clairmont Rd
Decatur
, Georgia 30033-4004
Dr. Clyde T Angel
Pastoral Counselor
1670 Clairmont Rd
Decatur
, Georgia 30033-4004
(678) 765-0019
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Clyde T Angel
- 6025 Branden Hill Ln
- Buford, GA
- Zip : 30518-2225
- Phone : (678) 765-0019
Second Address
- Dr. Clyde T Angel
- 1670 Clairmont Rd
- Decatur, GA
- Zip : 30033-4004
- Fax : (404) 329-2235
- Phone : (404) 321-6111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1093820318 |
|---|---|
| Provider Name | Dr. Clyde T Angel |
| First Address | Buford, GA 30518-2225 |
| Second Address | Decatur, GA 30033-4004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.