Organization
MARIN NEUROPSYCHOLOGY AND PSYCHOLOGICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR ANGELONE PHD (PRESIDENT)
(415) 457-3451
Entity
Organization
Contact information
Practice address
2154 4TH ST, SAN RAFAEL, CA 94901-2684
(415) 457-3451
(415) 457-3819
Mailing address
2154 4TH ST, SAN RAFAEL, CA 94901-2684
(415) 457-3451
(415) 457-3819
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13957
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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