Healthcare Provider Details

I. General information

NPI: 1962873380
Provider Name (Legal Business Name): ANGELICA FLORES-ARMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 10/01/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 B-1 ELLISON BLVD #301
ALBUQUERQUE NM
87114
US

IV. Provider business mailing address

3705 B-1 ELLISON BLVD #301
ALBUQUERQUE NM
87114
US

V. Phone/Fax

Practice location:
  • Phone: 646-863-5379
  • Fax:
Mailing address:
  • Phone: 646-863-5379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number022105
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: