Benjamin Robert D'angelo, PHD is a
Psychologist - Clinical based in Cleveland, Wisconsin. Benjamin Robert D'angelo is licensed to practice in Wisconsin (license number 2586-057) and his current practice location is
1205 North Ave, Cleveland, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 693-5600.
NPI number for Benjamin Robert D'angelo is 1558387902 and his current mailing address is 1205 North Ave, Cleveland, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558387902.
Healthcare Provider's Profile
Full Name | Benjamin Robert D'angelo |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1205 North Ave, Cleveland, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558387902
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Benjamin Robert D'angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558387902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2586-057 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Robert D'angelo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benjamin Robert D'angelo, PHD 1205 North Ave, Cleveland, WI 53015-1413 Ph: () - | Benjamin Robert D'angelo, PHD 1205 North Ave, Cleveland, WI 53015-1413 Ph: (920) 693-5600 |
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