Organization
SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR O ANGELONE PHD (PRESIDENT)
(707) 546-3300
Entity
Organization
Contact information
Practice address
1111 SONOMA AVE, STE 322, SANTA ROSA, CA 95405-4819
(707) 546-3300
(415) 457-3819
Mailing address
1111 SONOMA AVE, STE 322, SANTA ROSA, CA 95405-4819
(707) 546-3300
(415) 457-3819
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13957
CA
Other
Enumeration date
07/29/2010
Last updated
03/16/2011
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