DR. JACOB PANQUALE PANZARELLA PH.D.
NPI 1164738464
Clinical Neuropsychologist in San Rafael, CA
- Individual
- Male
- Clinical Neuropsychologist
About JACOB PANZARELLA
This page provides the complete NPI Profile along with additional information for Jacob Panzarella, a provider established in San Rafael, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1164738464 assigned on August 2010. The practitioner's primary taxonomy code is 103G00000X with license number PSY3581 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1164738464 Verify this NPI
- Provider Name
- DR. JACOB PANQUALE PANZARELLA PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4040 CIVIC CENTER DR SUITE 200 SAN RAFAEL, CA 94903
- Location Phone
- (415) 381-0300
- Location Fax
- (415) 898-4361
- Mailing Address
- 775 E BLITHEDALE AVE BOX 402 MILL VALLEY, CA 94941
- Mailing Phone
- (415) 381-0300
- Mailing Fax
- (415) 898-4361
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2010
- Last Update Date
- 08-24-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY3581
- License State
- CA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SAN RAFAEL, CA 94903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164738464, enumerated as an "individual" on August 24, 2010.
The provider is located at 4040 CIVIC CENTER DR SUITE 200 SAN RAFAEL, CA 94903 and the phone number is (415) 381-0300.
Clinical Neuropsychologist with taxonomy code 103G00000X.
