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Dr. Angela J. Koestler, PHD
Health Service Psychologist in Vicksburg, Mississippi
NPI 1942391180

Angela J. Koestler is a Health Service Psychologist based in Vicksburg, MS and is specialized in Health Service. Angela J. Koestler practices in Vicksburg, MS and has the professional credentials of PHD. The NPI Number for Angela J. Koestler is 1942391180 and holds a License No. 361 (Mississippi).

The current practice location address for Angela J. Koestler is 1121 Grove St, Vicksburg, MS and can be reached out via phone at 601-634-0118 and via fax at 601-630-0302.

Location: 1121 Grove St, Vicksburg, MS, 39183-7941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942391180
Provider Name
Angela J. Koestler
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1121 Grove St, Vicksburg, MS, 39183-7941
Phone Number
601-634-0118
Fax Number
601-630-0302
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1121 Grove St
City
Vicksburg
State
Mississippi
Zip
39183-2913
Phone Number
601-634-0118
Fax Number
601-630-0302
person
Provider Business Mailing Address Details
Address
1121 Grove St
City
Vicksburg
State
Mississippi
Zip
39183-2913
Phone Number
601-634-0118
Fax Number
601-630-0302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
361 (Mississippi)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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