NPI 1003102393

Marin Neuropsychology and Psychological Center, PC

Organisation Clinical Neuropsychologist San Rafael, CA

Practice location

Address: 2154 4th St, San Rafael, CA 94901-2684
Phone: (415) 457-3451
Fax: (415) 457-3819

Authorised official

Name: Edgar Angelone
Title: President
Phone: (415) 457-3451

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY13957 (CA)

Other Clinical Neuropsychologist providers in California →

Registry record

NPI: 1003102393
Entity type: Organization
NPI issued: 24 Jun 2011
Record last updated: 24 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.