Individual
DR. ANGELO COLAIACOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2737 W CECIL AVE, DELANO, CA 93215-1821
(661) 721-2345
Mailing address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34833
CA
103T00000X
Psychologist
PSB94025373
CA
103TC0700X
Clinical Psychologist
PSB94025373
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/17/2020
Last updated
04/09/2024
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