Provider Demographics
NPI:1306146899
Name:HAYS, ANGIE P (PHD)
Entity type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:P
Last Name:HAYS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANGIE
Other - Middle Name:L
Other - Last Name:PELLEGRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:11 MAIZE FLOWER PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77375-0185
Mailing Address - Country:US
Mailing Address - Phone:225-235-4535
Mailing Address - Fax:
Practice Address - Street 1:25420 KUYKENDAHL RD STE A300
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3439
Practice Address - Country:US
Practice Address - Phone:812-882-3706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1154103TC0700X
TX36321103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical