Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela T. Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720421530

Angela T. Anderson is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD458257 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720421530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2013
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025

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