Provider Demographics
NPI:1538875737
Name:HIPSLEY, ANGELA A (CAC-AD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:A
Last Name:HIPSLEY
Suffix:
Gender:F
Credentials:CAC-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 3RD ST
Mailing Address - Street 2:
Mailing Address - City:TANEYTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21787-2345
Mailing Address - Country:US
Mailing Address - Phone:443-277-1120
Mailing Address - Fax:
Practice Address - Street 1:66 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5008
Practice Address - Country:US
Practice Address - Phone:240-800-1171
Practice Address - Fax:240-800-1171
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)