DR. ANGELA KAY IRVIN PSY.D. NPI 1083319065

NPI Information

NPI: 1083319065
Provider Name: DR. ANGELA KAY IRVIN, PSY.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
6801 LAKE WORTH RD STE 219
GREENACRES, FL
ZIP 33467
Phone: (561) 328-8420
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DR. Angela Kay Irvin, PSY.D. is a student in an organized health care education training program in Greenacres, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Angela Kay Irvin, PSY.D. NPI is 1083319065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6801 LAKE WORTH RD STE 219
GREENACRES, FL
ZIP 33467-966
Phone: (561) 328-8420
Fax: (561) 828-2884

The enumeration date for this NPI number is 3/31/2023 and was last updated on 3/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I615011666221	OTHER	FLORIDA	DRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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