Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA DAWN EASTVOLD, PHD
Active Sole ProprietorANGELA DAWN EASTVOLD, PHD is a Clinical Neuropsychologist healthcare provider located in CARDIFF BY THE SEA, California. NPI 1659652717 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · CARDIFF BY THE SEA, CA
Registration Details
- NPI Number
- 1659652717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2011 (14.928416780105 yrs)
- Last Updated
- Jun 7, 2022
- Licenses
-
80249832501 (UT)CA-29589 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 BIRMINGHAM DR STE 110ACARDIFF BY THE SEA, CA, 920071737Browse CA providers · Browse ZIP 92007
- Phone
- 7604202640
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
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.