Mace, David Eugene

Mace, David Eugene is an individual health care provider with primary practice located at 1305 Tommydon St , Stockton CA 95210-3364. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mace, David Eugene can be contacted via phone (209) 476-2015.

Contact Information

Primary practice address
1305 Tommydon St Stockton CA 95210-3364
Phone: (209) 476-2015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18306 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 765 Oregon
Behavioral Health & Social Service Providers / Forensic 103TF0200X 18306 California

Profile Details

NPI number 1225175060
LBN Legal business name Mace, David Eugene
Credentials ED.D., MSCP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
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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