Marin Neuropsychology And Psychological Center, Pc | |
2154 4th St San Rafael CA 94901-2684 | |
(415) 457-3451 | |
(415) 457-3819 |
Full Name | Marin Neuropsychology And Psychological Center, Pc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 2154 4th St, San Rafael, California |
Authorized Official Name and Position | Edgar Angelone (PRESIDENT) |
Authorized Official Contact | 4154573451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marin Neuropsychology And Psychological Center, Pc 2154 4th St San Rafael CA 94901-2684 Ph: (415) 457-3451 | Marin Neuropsychology And Psychological Center, Pc 2154 4th St San Rafael CA 94901-2684 Ph: (415) 457-3451 |
NPI Number | 1003102393 |
---|---|
Provider Enumeration Date | 06/24/2011 |
Last Update Date | 06/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003102393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PSY13957 (California) | Primary |
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