Individual provider · Type 1 NPI
Angela J. Koestler, PhD
Health Service Psychologist · Vicksburg, MS
Practice location
1121 Grove St
Vicksburg, MS 39183-2913
Fax (601) 630-0302
Mailing address
16525 Highway 465
Vicksburg, MS 39183-7941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 361 (MS) |
Health Service Psychologist: 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).
3 other providers at this address
About NPI 1942391180
Angela J. Koestler, PhD's National Provider Identifier is 1942391180, issued on Sep 27, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 10, 2017.