Basic Information
| Provider Information | |||||||||
| NPI: | 1215171426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRES | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | NICOLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1215 HERMITAGE RD | ||||||||
| Address2: | UNIT 2211 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232201338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045247087 | ||||||||
| FaxNumber: | 8045247567 | ||||||||
| Practice Location | |||||||||
| Address1: | 107 S 5TH ST | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232193825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048194000 | ||||||||
| FaxNumber: | 8048195221 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2009 | ||||||||
| LastUpdateDate: | 08/27/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 0810004018 | VA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.