IndividualActive
Angela Bourke, PH.D.
NPI 1891947016 · Clinical Psychologist · Quantico, VA
Provider details
- NPI number
- 1891947016
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2989 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (703) 784-1779
Fax: (703) 432-0508
Approximate (ZIP-level) locationGet directions
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.