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NPI 1720100746

IndividualActive

Angela Phan, MA, LPA

NPI 1720100746 · Psychologist · Youngsville, NC

Provider details

NPI number: 1720100746
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: MA, LPA
Sex: Female
Sole proprietor: No
License: 2472 (NC)

Practice location

1618 US Hwy 1 North

Youngsville, NC 27596-9219

Phone: (919) 247-4750

More NC providers

Mailing address

1925 Edens Ridge Ave

Wake Forest, NC 27587-5172

Registry dates

Enumerated: 2007-04-03
Last updated: 2018-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Angela Phan, MA, LPA — NPI 1720100746, Youngsville, NC | NPI Central