Healthcare Provider Details

I. General information

NPI: 1215233085
Provider Name (Legal Business Name): ANGEL MARIE FAITH PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21126 NASHVILLE ST
CHATSWORTH CA
91311-1448
US

IV. Provider business mailing address

21126 NASHVILLE ST
CHATSWORTH CA
91311-1448
US

V. Phone/Fax

Practice location:
  • Phone: 818-581-5048
  • Fax:
Mailing address:
  • Phone: 818-581-5048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY29308
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: