Healthcare Provider Details

I. General information

NPI: 1821843707
Provider Name (Legal Business Name): ANGELIQUE IVANA FINESTONE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELIQUE IVANA CORPUZ

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MUIR RD
MARTINEZ CA
94553-4668
US

IV. Provider business mailing address

150 MUIR RD
MARTINEZ CA
94553-4668
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-2000
  • Fax:
Mailing address:
  • Phone: 925-372-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: