IndividualActive
Angelina Maynard, PH.D., LP, LSSP
NPI 1306109608 · Clinical Child & Adolescent Psychologist · Farmers Branch, TX
Provider details
- NPI number
- 1306109608
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP, LSSP
- Sex
- Female
- Sole proprietor
- No
- License
- 36943 (TX)
Practice location
2735 Villa Creek Dr Ste A115
Farmers Branch, TX 75234-7454
Phone: (214) 517-2951
Mailing address
12218 Treeview Ln
Farmers Branch, TX 75234-7810
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.