DR. Angelina Maynard, PH.D., LP, LSSP

NPI #1306109608 in Farmers Branch, Texas

Provider Information

NPI Number: 1306109608
Entity Type: Individual
Name: DR. Angelina Maynard, PH.D., LP, LSSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: PH.D., LP, LSSP
Enumeration Date: Jun 21, 2012
Last Updated: Jul 21, 2022

Practice Location

Address: 2735 VILLA CREEK DR STE A115
City: Farmers Branch
State: Texas
ZIP Code: 75234-7454
Phone: (214) 517-2951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - School — School	103TS0200X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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