Mark John Souris is a Clinical in Chatsworth, California. Mark John Souris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark John Souris is 1003098427. The last update date is 2016-11-17.
Mark John Souris's current location address is 19701 Tuba St, Chatsworth, California. You can contact this provider via phone number 8186359705 and fax number 7473009246. The mailing address for Mark John Souris is 19701 Tuba St, Chatsworth, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark John Souris |
|---|---|
| Address | 19701 Tuba St, Chatsworth, California |
| Phone Number | 8186359705 |
| Fax Number | 7473009246 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1003098427 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2016-11-17 |
Provider Mailing Address Detail
| Address | 19701 Tuba St |
|---|---|
| City | Chatsworth |
| State | California (CA) |
| Post Code | 913113547 |
| Phone Number | 8186359705 |
| Fax Number | 7473009246 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14283 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14283 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Mark John Souris by the Centers for Medicare & Medicaid Services (CMS)?
The Mark John Souris has been assigned the NPI (National Provider Identifier) 1003098427. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mark John Souris's facilities are situated?
The facilities of Mark John Souris are physically located at the following address: 19701 Tuba St, Chatsworth, CA, 913113547.
What is Mark John Souris's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark John Souris is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did Mark John Souris receive its 1003098427 assignment from the Centers for Medicare & Medicaid Services?
The Mark John Souris was assigned its 1003098427 on 2007-11-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark John Souris's information last updated?
The Mark John Souris's information was last updated on 2016-11-17.
NPI Number: 1770586281
Address: 7100 E Lincoln Dr, Scottsdale, AZ
NPI Number: 1871596270
Address: 123 W Torrance Blvd, Redondo Beach, CA