Georgiev, Mary-Jo C.

Georgiev, Mary-Jo C. is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Georgiev, Mary-Jo C. can be contacted via phone (760) 736-6767.

Contact Information

Primary practice address
150 Valpreda Rd San Marcos CA 92069-2973
Phone: (760) 736-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17954 California

Profile Details

NPI number 1518996875
LBN Legal business name Georgiev, Mary-Jo C.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518996875 NPPES
California MEDICAID PSY179540

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