| Marquis Psychology Pc | |
|
5252 Balboa Ave Ste 500 San Diego CA 92117-6935 | |
| (619) 432-7332 | |
| Not Available |
| Full Name | Marquis Psychology Pc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 5252 Balboa Ave Ste 500, San Diego, California |
| Authorized Official Name and Position | Willa Marquis (PRESIDENT) |
| Authorized Official Contact | 6194327332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marquis Psychology Pc 5252 Balboa Ave Ste 500 San Diego CA 92117-6935 Ph: (619) 432-7332 | Marquis Psychology Pc 5252 Balboa Ave Ste 500 San Diego CA 92117-6935 Ph: (619) 432-7332 |
| NPI Number | 1699471201 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699471201 | NPI | - | NPPES |
| 1841865144 | Other | CA | INDIVIDUAL |
| 1154757029 | Other | CA | INDIVIDUAL |
| 1225690043 | Other | CA | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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