Lookup NPI Numbers from the NPI Registry
NPI Profile for ANGELA M REDWINE in TULLAHOMA, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical |
| NPI # | 1639347636 |
|
| Status | Active | |
| Credentials | PH.D., LPC-MHSP | |
| Entity | Individual | |
| Enumeration date | 02/13/2008 | |
| Last updated | 04/19/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANGELA M REDWINE
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ANGELA M REDWINE, PH.D., LPC-MHSP