Doctor Name: | DR. ANGELA BISIGNANO |
NPI Number: | 1356734818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 26894 |
Business Practice Address: | 2516 Via Tejon Ste 303 Palos Verdes Estates, CA - 902746805 |
Business Phone Number: | 4242069055 |
Business Fax Number: | |
Mailing Address: | 2516 Via Tejon Ste 303, PALOS VERDES ESTATES |
State: | CA |
Postal Code: | 902746805 |
Phone Number: | 4242069055 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 26894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |