Jacqueline Mar is a Clinical in Riverside, California. Jacqueline Mar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Mar is 1609964626. The last update date is 2007-07-08.
Jacqueline Mar's current location address is 8507 Magnolia Ave Apt 76, Riverside, California. You can contact this provider via phone number 9518970650 and fax number 9517819084. The mailing address for Jacqueline Mar is 8507 Magnolia Ave Apt 76, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Mar |
|---|---|
| Address | 8507 Magnolia Ave Apt 76, Riverside, California |
| Phone Number | 9518970650 |
| Fax Number | 9517819084 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1609964626 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8507 Magnolia Ave Apt 76 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925043289 |
| Phone Number | 9518970650 |
| Fax Number | 9517819084 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY10365 |
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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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What is the unique identifier code issued to Jacqueline Mar by the Centers for Medicare & Medicaid Services?
The Jacqueline Mar has been assigned the NPI (National Provider Identifier) 1609964626. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jacqueline Mar is located?
The Jacqueline Mar is situated at the following address: 8507 Magnolia Ave Apt 76, Riverside, CA, 925043289.
What is the Jacqueline Mar's specialty and taxonomy code?
The Jacqueline Mar's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Jacqueline Mar receive its 1609964626 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Mar was assigned its 1609964626 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jacqueline Mar's details last updated?
The information pertaining to the Jacqueline Mar, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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