Mark Mcdonough in Encinitas - Clinical Neuropsychologist
Mark Mcdonough - NPI 1427171412
Mark Mcdonough is a Clinical Neuropsychologist in Encinitas, California. Mark Mcdonough practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Mark Mcdonough is 1427171412. The last update date is 2019-11-26.
Mark Mcdonough's current location address is 4405 Manchester Ave, Encinitas, California. You can contact this provider via phone number 7609449647 and fax number 7609447491. The mailing address for Mark Mcdonough is 4405 Manchester Ave, Encinitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mcdonough |
|---|---|
| Address | 4405 Manchester Ave, Encinitas, California |
| Phone Number | 7609449647 |
| Fax Number | 7609447491 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1427171412 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2019-11-26 |
Provider Mailing Address Detail
| Address | 4405 Manchester Ave |
|---|---|
| City | Encinitas |
| State | California (CA) |
| Post Code | 920247902 |
| Phone Number | 7609449647 |
| Fax Number | 7609447491 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY 16390 |
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Definition: 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 th |
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What is the unique identifier code issued to Mark Mcdonough by the Centers for Medicare & Medicaid Services?
The Mark Mcdonough has been assigned the NPI (National Provider Identifier) 1427171412. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Mcdonough?
The Mark Mcdonough is physically situated at 4405 Manchester Ave, in the city of Encinitas, state of CA, with the postal code 920247902.
What is Mark Mcdonough's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Mcdonough's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427171412 to Mark Mcdonough?
The Centers for Medicare & Medicaid Services assigned the 1427171412 to Mark Mcdonough on 2007-04-06.
When was the information related to Mark Mcdonough most recently updated or refreshed?
The details pertaining to the Mark Mcdonough, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-26.
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