Angelone, Edgar O.

Angelone, Edgar O. is an sole proprietor health care provider with primary practice located at 2154 4Th St , San Rafael CA 94901-2650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Angelone, Edgar O. can be contacted via phone (415) 457-3451.

Contact Information

Primary practice address
2154 4Th St San Rafael CA 94901-2650
Phone: (415) 457-3451
Fax: (415) 457-3819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY13957 California

Profile Details

NPI number 1407919988
LBN Legal business name Angelone, Edgar O.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407919988 NPPES
California Other PSY13957 LICENSE NUMBER

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