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DR. ANGELA SALLIE PLLC NPI 1457905820


NPI Information

NPI: 1457905820
Provider Name: DR. ANGELA SALLIE, PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5384 POPLAR AVE STE 327
MEMPHIS, TN
ZIP 38119
Phone: (901) 347-3050
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DR. ANGELA SALLIE, PLLC is a clinical psychologist in Memphis, TN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. ANGELA SALLIE, PLLC NPI is 1457905820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5384 POPLAR AVE STE 327
MEMPHIS, TN
ZIP 38119-656
Phone: (901) 347-3050
Fax: (901) 509-2875

The provider's authorized official is Angela Sallie .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (901) 347-3050.

The enumeration date for this NPI number is 7/24/2019 and was last updated on 2/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q049111MEDICAIDTENNESSEE

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: 4/28/2024

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