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NPI Code Detail

MEDICARE: DR. ANGELA LAYGO

MEDICARE: DR. ANGELA LAYGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistCP-43GU

General Provider Information

NPI Number : 1669784195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA LAYGO
Provider Business Mailing Address
First Line : 790 GOV CARLOS G CAMACHO RD
Second Line :
City : TAMUNING
State : GU
Zip : 96913-3129
Country : US
Telephone Number : 671-647-5440
Fax Number : 671-649-6948
Provider Business Practice Location Address
First Line : 790 GOV CARLOS G CAMACHO RD
Second Line :
City : TAMUNING
State : GU
Zip : 96913-3129
Country : US
Telephone Number : 671-647-5440
Fax Number : 671-649-6948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 10/02/2015

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Directions to “ DR. ANGELA LAYGO ” Practice Location

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