Organization
SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA ANGIOLI PSYCHOLOGIST (PRESIDENT)
(858) 274-0874
Entity
Organization
Contact information
Practice address
4640 CASS STREET, # 90422, SAN DIEGO, CA 92109
(858) 274-0874
Mailing address
PO BOX 90422, SAN DIEGO, CA 92169-2422
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
06/08/2019
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