Clark, Mary Mcginn
Clark, Mary Mcginn is an sole proprietor health care provider with primary practice located at 10981 San Diego Mission Rd Ste 114, San Diego CA 92108-2448. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Clark, Mary Mcginn can be contacted via phone (619) 280-0285.Contact Information
Primary practice address
10981 San Diego Mission Rd Ste 114
San Diego CA 92108-2448
Phone: (619) 280-0285
Fax: (619) 280-0286
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY 17897 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 17748 | California |
Profile Details
NPI number | 1659374775 |
---|---|
LBN Legal business name | Clark, Mary Mcginn |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2005 |
Last updated | Nov 1st, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659374775 | NPPES |
California | MEDICAID | EPS004410 |
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