Allen, Mark Hugh

Allen, Mark Hugh is an sole proprietor health care provider with primary practice located at 4153 1St Ave , San Diego CA 92103-2047. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Mark Hugh can be contacted via phone (619) 685-2736.

Contact Information

Primary practice address
4153 1St Ave San Diego CA 92103-2047
Phone: (619) 685-2736
Fax: (619) 298-7267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11665 California

Profile Details

NPI number 1922042886
LBN Legal business name Allen, Mark Hugh
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jan 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922042886 NPPES
California MEDICAID PSY116650

Popular Providers