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ANGELA DAWN EASTVOLD PHD
NPI 1659652717
Clinical Neuropsychologist in Cardiff By The Sea, CA

Active since September 02, 2011
120 BIRMINGHAM DR STE 110A, CARDIFF BY THE SEA, CA 92007(760) 420-2640 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2022, Mar 17, 2018, Oct 27, 2017 (3 updates tracked since 2017).

About Angela Dawn Eastvold Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA DAWN EASTVOLD PHD (NPI 1659652717) is an individual clinical neuropsychologist in Cardiff By The Sea, California, licensed in California (CA-29589) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1659652717
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameANGELA DAWN EASTVOLDCredential: PHD
Location Address120 BIRMINGHAM DR STE 110ACardiff By The Sea, CA 92007-1737
Mailing Address120 Birmingham Dr Ste 110aCardiff By The Sea, CA 92007-1737 · (760) 420-2640
Phone(760) 420-2640
Sole ProprietorYes
Enumeration DateSeptember 2, 2011
Last NPPES UpdateJune 7, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1659652717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · CA-29589
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 80249832501 (UT)
120 BIRMINGHAM DR STE 110A, Cardiff By The Sea, CA 92007
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Eastvold's NPI number?

The NPI number for Angela Eastvold is 1659652717. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Angela Eastvold located?

Angela Eastvold practices at 120 Birmingham Dr Ste 110A, Cardiff By The Sea, CA 92007. The listed phone number is (760) 420-2640.

What is Angela Eastvold's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Angela Eastvold was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.