Malik, Mary L

Malik, Mary L is an sole proprietor health care provider with primary practice located at 1110 California Blvd Ste A , San Luis Obispo CA 93401-2970. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Malik, Mary L can be contacted via phone (805) 541-2490.

Contact Information

Primary practice address
1110 California Blvd Ste A San Luis Obispo CA 93401-2970
Phone: (805) 541-2490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY19861 California

Profile Details

NPI number 1053328823
LBN Legal business name Malik, Mary L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Aug 17th, 2019 - about 5 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 1053328823 NPPES
California Other OPL198610 BLUE SHIELD OF CA PIN

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