| Doctor Name: | ANGELA RAZON |
| NPI Number: | 1033306691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD., HSPP |
| License Number: | 20041899A |
| Business Practice Address: | 1409 E 84th Pl Merrillville, IN - 464106451 |
| Business Phone Number: | 2197942000 |
| Business Fax Number: | |
| Mailing Address: | 8400 Louisiana St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464106385 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 20041899A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |