Most Relevant Information
Provider Data
| NPI Number: | 1003428558 |
| Provider Name: | ANGELO COLAIACOVO PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSB94025373 |
Most Important Dates
| Enumeration Date: | 08/17/2020 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
2737 W CECIL AVE
DELANO
CA
932151821
Practice Location Phone/Fax
| Phone: | 6617212345 |
| Fax: |
Provider Mailing Location
44750 60TH ST W
LANCASTER
CA
935367619
Provider Mailing Phone/Fax
| Phone: | 6617292000 |
| Fax: |