Individual provider · Type 1 NPI

Jacob Panquale Panzarella, PhD

Clinical Neuropsychologist · San Rafael, CA

NPI number 1164738464 Active

Practice location

4040 Civic Center Dr, Suite 200
San Rafael, CA 94903-4150

Fax (415) 898-4361

Mailing address

775 E Blithedale Ave, Box 402
Mill Valley, CA 94941-1554

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPSY3581 (CA)

Clinical Neuropsychologist: 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.

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About NPI 1164738464

Jacob Panquale Panzarella, PhD's National Provider Identifier is 1164738464, issued on Aug 24, 2010. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 24, 2010.