| Doctor Name: | ANGELA VENEZIANO |
| NPI Number: | 1013268648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 003325 |
| Business Practice Address: | 3200 N Dobson Rd Ste C Chandler, AZ - 852249601 |
| Business Phone Number: | 6025400441 |
| Business Fax Number: | |
| Mailing Address: | 3200 N Dobson Rd, Ste C CHANDLER |
| State: | AZ |
| Postal Code: | 852249601 |
| Phone Number: | 6025400441 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2012 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 003325 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |