| Dr. Angela Sallie, Pllc | |
|
3551 Roger Brooke Dr Brooke Army Medical Center Fort Sam Houston TX 78234 | |
| (901) 456-4487 | |
| Not Available |
| Full Name | Dr. Angela Sallie, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Authorized Official Name and Position | Angela Turner (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9014564487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Angela Sallie, Pllc 8877 N 107th Ave Ste 302, 499 Peoria AZ 85345 Ph: (901) 456-4487 | Dr. Angela Sallie, Pllc 3551 Roger Brooke Dr Brooke Army Medical Center Fort Sam Houston TX 78234 Ph: (901) 456-4487 |
| NPI Number | 1457905820 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457905820 | NPI | - | NPPES |
| Q049111 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |