| 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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