NPI | 1003102393 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGAR ANGELONE President 415-457-3451 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY13957) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2011-06-24 |