DR. Jacob Panquale Panzarella, PH.D.
NPI #1164738464 in San Rafael, California
Provider Information
- NPI Number
- 1164738464
- Entity Type
- Individual
- Name
- DR. Jacob Panquale Panzarella, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PH.D.
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 4040 CIVIC CENTER DR
- Address 2
- SUITE 200
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-4150
- Phone
- (415) 381-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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