Marisa Mares in San Pedro - Clinical Neuropsychologist
Marisa Mares - NPI 1033203054
Marisa Mares is a Clinical Neuropsychologist in San Pedro, California. Marisa Mares practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Marisa Mares is 1033203054. The last update date is 2011-08-25.
Marisa Mares's current location address is 461 W 6th St, San Pedro, California. You can contact this provider via phone number 3105470084 and fax number 3108335672. The mailing address for Marisa Mares is 461 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisa Mares |
|---|---|
| Address | 461 W 6th St, San Pedro, California |
| Phone Number | 3105470084 |
| Fax Number | 3108335672 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1033203054 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2011-08-25 |
Provider Mailing Address Detail
| Address | 461 W 6th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907312694 |
| Phone Number | 3105470084 |
| Fax Number | 3108335672 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY 19781 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marisa Mares by the Centers for Medicare & Medicaid Services?
The Marisa Mares has been issued the NPI (National Provider Identifier) 1033203054, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marisa Mares's facilities are situated?
The facilities of Marisa Mares are physically located at the following address: 461 W 6Th St, San Pedro, CA, 907312694.
What is Marisa Mares's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marisa Mares is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date did Marisa Mares receive its 1033203054 assignment from the Centers for Medicare & Medicaid Services?
The Marisa Mares was assigned its 1033203054 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Marisa Mares, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marisa Mares, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-25.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH