Provider Demographics
NPI:1760866388
Name:LAGAMBINA, ANGELA JOY
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:LAGAMBINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 HERITAGE CT SE STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3062
Mailing Address - Country:US
Mailing Address - Phone:407-538-5697
Mailing Address - Fax:
Practice Address - Street 1:2550 HERITAGE CT SE STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3062
Practice Address - Country:US
Practice Address - Phone:678-561-3961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP009247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist