Individual
DR. ELLEN COLANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3180 UNIVERSITY AVENUE, SUITE 210, SAN DIEGO, CA 92104-2045
(619) 807-5431
(619) 291-3441
Mailing address
3957 30TH STREET, #517, SAN DIEGO, CA 92104-3085
(619) 807-5431
(619) 291-3441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8042827
—
CA
Enumeration date
07/19/2006
Last updated
10/18/2010
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