Provider Demographics
NPI:1033447693
Name:SABORIO, ANGELA THERESE (MA,LLP,QMRP,CMHP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:THERESE
Last Name:SABORIO
Suffix:
Gender:F
Credentials:MA,LLP,QMRP,CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HURD ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-1323
Mailing Address - Country:US
Mailing Address - Phone:734-384-8733
Mailing Address - Fax:
Practice Address - Street 1:22601 ALLEN RD STE 300
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-2273
Practice Address - Country:US
Practice Address - Phone:734-325-0578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361000814103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist