Tony Wayne Angelo

NPI #1992997068 in Colton, California

Provider Information

NPI Number: 1992997068
Entity Type: Individual
Name: Tony Wayne Angelo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Enumeration Date: Aug 13, 2007
Last Updated: Aug 13, 2007

Practice Location

Address: 1025 S MOUNT VERNON AVE
Address 2: SUITE A
City: Colton
State: California
ZIP Code: 92324-4226
Phone: (909) 783-1473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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