Mark W. Marvin is a Clinical in San Diego, California. Mark W. Marvin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark W. Marvin is 1902887565. The last update date is 2007-07-09.
Mark W. Marvin's current location address is 12450 Sundance Ave, San Diego, California. You can contact this provider via phone number 8585650066. The mailing address for Mark W. Marvin is 12450 Sundance Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W. Marvin |
|---|---|
| Address | 12450 Sundance Ave, San Diego, California |
| Phone Number | 8585650066 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1902887565 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12450 Sundance Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921292241 |
| Phone Number | 8585650066 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11800 |
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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 |
|---|---|---|---|
| PSY118000 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark W. Marvin?
The Mark W. Marvin has been issued the NPI (National Provider Identifier) 1902887565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mark W. Marvin?
The Mark W. Marvin is situated at 12450 Sundance Ave, in the city of San Diego, state of CA, with the zip code 921292241.
What is Mark W. Marvin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark W. Marvin is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902887565 to Mark W. Marvin?
The Centers for Medicare & Medicaid Services assigned the 1902887565 to Mark W. Marvin on 2005-11-10.
As of what date were the Mark W. Marvin's details last updated?
The information pertaining to the Mark W. Marvin, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1184622524
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA