Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB PANQUALE PANZARELLA, PH.D.
Active Sole ProprietorDR. JACOB PANQUALE PANZARELLA, PH.D. is a Clinical Neuropsychologist healthcare provider located in SAN RAFAEL, California. NPI 1164738464 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1164738464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2010 (15.948161933778 yrs)
- Last Updated
- Aug 24, 2010
- License
-
PSY3581 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4040 CIVIC CENTER DRSUITE 200SAN RAFAEL, CA, 949034150Browse CA providers · Browse ZIP 94903
- Phone
- 4153810300
- Fax
- 4158984361
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ALBERT MICHAEL WOLFE | PH.D. | 1447298559 |
| DR. EDGAR O. ANGELONE | PH.D | 1407919988 |
| DR. NANCY A HOFFMAN | PSYD | 1114084530 |
| JAMES CLINTON WILSON | PH.D. | 1902932783 |
| DR. STEPHEN DREW | PH.D. | 1255465266 |
| MARIA JOSE PRIETO DE ESTEBECORENA | PH,D. | 1013148469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.