Edgar O. Angelone in San Rafael - Clinical Neuropsychologist
Edgar O. Angelone - NPI 1407919988
Edgar O. Angelone is a Clinical Neuropsychologist in San Rafael, California. Edgar O. Angelone practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Edgar O. Angelone is 1407919988. The last update date is 2007-07-08.
Edgar O. Angelone's current location address is 2154 4th St, San Rafael, California. You can contact this provider via phone number 4154573451 and fax number 4154573819. The mailing address for Edgar O. Angelone is 2154 4th St, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar O. Angelone |
|---|---|
| Address | 2154 4th St, San Rafael, California |
| Phone Number | 4154573451 |
| Fax Number | 4154573819 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1407919988 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2154 4th St |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949012650 |
| Phone Number | 4154573451 |
| Fax Number | 4154573819 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY13957 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY13957 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the Edgar O. Angelone's 1407919988?
The Edgar O. Angelone's NPI (National Provider Identifier) Number is 1407919988. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Edgar O. Angelone is geographically located?
The Edgar O. Angelone is physically situated at the following location: 2154 4Th St, San Rafael, CA, 949012650.
What is the Edgar O. Angelone's area of specialization and corresponding taxonomy classification?
The Edgar O. Angelone's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Edgar O. Angelone receive the assignment of its 1407919988 from the Centers for Medicare & Medicaid Services?
The Edgar O. Angelone was issued its 1407919988 by the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date was the information regarding Edgar O. Angelone, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edgar O. Angelone, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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