| Sonoma Memory Center Comprehensive Psychology Services Professional Co | |
|
1111 Sonoma Ave Ste 322 Santa Rosa CA 95405-4819 | |
| (707) 546-3300 | |
| (415) 457-3819 |
| Full Name | Sonoma Memory Center Comprehensive Psychology Services Professional Co |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1111 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | Edgar O Angelone (PRESIDENT) |
| Authorized Official Contact | 7075463300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Memory Center Comprehensive Psychology Services Professional Co 1111 Sonoma Ave Ste 322 Santa Rosa CA 95405-4819 Ph: (707) 546-3300 | Sonoma Memory Center Comprehensive Psychology Services Professional Co 1111 Sonoma Ave Ste 322 Santa Rosa CA 95405-4819 Ph: (707) 546-3300 |
| NPI Number | 1427362680 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427362680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY13957 (California) | Primary |
Clb Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 3rd St, D-250, Santa Rosa, CA 95401 Phone: 707-566-7571 | |
Sonoma County Indian Health Project Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4545 | |
Cross Cultural Services And Evaluations, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403 Phone: 707-799-4274 | |
Mounir Belcadi, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3452 Mendocino Ave, Suite C, Santa Rosa, CA 95403 Phone: 707-579-8703 Fax: 707-579-8755 | |
Drug Abuse Alternatives Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Professional Dr, Santa Rosa, CA 95403 Phone: 707-544-3295 | |
Surgical Neuromonitoring Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Santa Margarita Ct, Santa Rosa, CA 95405 Phone: 707-573-2341 Fax: 707-539-2939 | |
Lifeworks Of Sonoma County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 N Dutton Ave Ste 220, Santa Rosa, CA 95401 Phone: 707-568-2300 Fax: 707-568-2304 |