| Doctor Name: | TRICIA M. ANGILLETTA |
| NPI Number: | 1154447225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, ATR-BC, LPC |
| License Number: | 37PC00335900 |
| Business Practice Address: | 739 S White Horse Pike Ste 8 Audubon, NJ - 081061659 |
| Business Phone Number: | 8565479200 |
| Business Fax Number: | 8565479220 |
| Mailing Address: | 16 Hillcrest Ave, COLLINGSWOOD |
| State: | NJ |
| Postal Code: | 081081315 |
| Phone Number: | 8568583402 |
| Fax Number: | 8565479220 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00335900 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |