Macken, Mary B

Macken, Mary B is an individual health care provider with primary practice located at 7432 Cabrillo Ave , La Jolla CA 92037-5201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Macken, Mary B can be contacted via phone (858) 551-2003.

Contact Information

Primary practice address
7432 Cabrillo Ave La Jolla CA 92037-5201
Phone: (858) 551-2003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22982 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 22982 California

Profile Details

NPI number 1114038346
LBN Legal business name Macken, Mary B
Credentials PH. D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 25th, 2009 - about 16 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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