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Contact Information

ANGELINA MAYNARD, PH.D., LP, LSSP
2735 VILLA CREEK DR STE A115
FARMERS BRANCH, TX75234-7454
 Phone: 214-517-2951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANGELINA MAYNARD · (Female)

NPI # 1306109608
Status Active
Credentials PH.D., LP, LSSP
Entity Individual
Enumeration date 06/21/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 36943
  • TX License # 70337
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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