Individual
DR. EDGAR O. ANGELONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
2154 4TH ST, SAN RAFAEL, CA 94901-2650
(415) 457-3451
(415) 457-3819
Mailing address
2154 4TH ST, SAN RAFAEL, CA 94901-2650
(415) 457-3451
(415) 457-3819
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY13957
LICENSE NUMBER
CA
Enumeration date
12/18/2006
Last updated
07/08/2007
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