Mark S Lytle is a Clinical in San Diego, California. Mark S Lytle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark S Lytle is 1801956198. The last update date is 2011-03-05.
Mark S Lytle's current location address is 11280 Tribuna Ave, San Diego, California. You can contact this provider via phone number 8585664748 and fax number 8585664748. The mailing address for Mark S Lytle is 11280 Tribuna Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Lytle |
|---|---|
| Address | 11280 Tribuna Ave, San Diego, California |
| Phone Number | 8585664748 |
| Fax Number | 8585664748 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1801956198 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2011-03-05 |
Provider Mailing Address Detail
| Address | 11280 Tribuna Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921311929 |
| Phone Number | 8585664748 |
| Fax Number | 8585664748 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY12089 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY120892 | CA | -- | |
| 0PL120890 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Mark S Lytle by the Centers for Medicare & Medicaid Services (CMS)?
The Mark S Lytle has been assigned the NPI (National Provider Identifier) 1801956198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark S Lytle?
The Mark S Lytle is situated at 11280 Tribuna Ave, in the city of San Diego, state of CA, with the zip code 921311929.
What is Mark S Lytle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark S Lytle's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801956198 to Mark S Lytle?
The Centers for Medicare & Medicaid Services assigned the 1801956198 to Mark S Lytle on 2006-12-09.
As of what date were the details related to Mark S Lytle most recently updated or revised?
The information pertaining to Mark S Lytle, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-05.