Healthcare Provider Details

I. General information

NPI: 1174109268
Provider Name (Legal Business Name): ANGELA M. DEAN PSYD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 BROOKTREE RD STE 105
WEXFORD PA
15090-9299
US

IV. Provider business mailing address

6200 BROOKTREE RD STE 105
WEXFORD PA
15090-9299
US

V. Phone/Fax

Practice location:
  • Phone: 724-271-8503
  • Fax: 724-590-9766
Mailing address:
  • Phone: 724-271-8503
  • Fax: 724-590-9766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA MARIE DEAN
Title or Position: CEO & CLINICAL DIRECTOR
Credential:
Phone: 724-271-8503