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Mrs. Vijaya Venkata Tangella, MA
Intellectual & Developmental Disabilities Psychologist in Raleigh, North Carolina
NPI 1174691232

Vijaya Venkata Tangella is a Intellectual & Developmental Disabilities Psychologist based in Raleigh, NC and is specialized in Intellectual & Developmental Disabilities. Vijaya Venkata Tangella practices in Raleigh, NC and has the professional credentials of MA. The NPI Number for Vijaya Venkata Tangella is 1174691232 and holds a License No. 1439 (North Carolina).

The current practice location address for Vijaya Venkata Tangella is 739 Chappell Dr, Raleigh, NC and can be reached out via phone at 919-832-3909 and via fax at 919-832-3035.

Location: 739 Chappell Dr, Raleigh, NC, 27606-3215
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Provider Profile Details
NPI Number
1174691232
Provider Name
Vijaya Venkata Tangella
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
739 Chappell Dr, Raleigh, NC, 27606-3215
Phone Number
919-832-3909
Fax Number
919-832-3035
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14195 01 NC BCBS OF NC
6107363 05 NC
institution
Provider Business Practice Location Address Details
Address
739 Chappell Dr
City
State
Zip
27606-3215
Phone Number
919-832-3909
Fax Number
919-832-3035
person
Provider Business Mailing Address Details
Address
739 Chappell Dr
City
State
Zip
27606-3215
Phone Number
919-832-3909
Fax Number
919-832-3035
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
1439 (North Carolina)
Definition
Definition to come...
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