ANGELA DAWN EASTVOLD PHD NPI 1659652717

NPI Information

NPI: 1659652717
Provider Name: ANGELA DAWN EASTVOLD, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
120 BIRMINGHAM DR STE 110A
CARDIFF BY THE SEA, CA
ZIP 92007
Phone: (760) 420-2640
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Angela Dawn Eastvold, PHD is a clinical neuropsychologist in Cardiff By The Sea, CA. The provider is 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. Angela Dawn Eastvold, PHD NPI is 1659652717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 BIRMINGHAM DR STE 110A
CARDIFF BY THE SEA, CA
ZIP 92007-737
Phone: (760) 420-2640

The enumeration date for this NPI number is 9/2/2011 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	80249832501	UTAH	No
2	103G00000X	Clinical Neuropsychologist		CA-29589	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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