Corey, Mark Robert

Corey, Mark Robert is an sole proprietor health care provider with primary practice located at 231 C St , Davis CA 95616-4521. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Corey, Mark Robert can be contacted via phone (530) 759-1277.

Contact Information

Primary practice address
231 C St Davis CA 95616-4521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 14130 California

Profile Details

NPI number 1972537264
LBN Legal business name Corey, Mark Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - 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.

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