Mares, Marisa
Mares, Marisa is an sole proprietor health care provider with primary practice located at 461 W 6Th St Suite 204, San Pedro CA 90731-2694. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Mares, Marisa can be contacted via phone (310) 547-0084.Contact Information
Primary practice address
461 W 6Th St Suite 204
San Pedro CA 90731-2694
Phone: (310) 547-0084
Fax: (310) 833-5672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 19781 | California |
Profile Details
| NPI number | 1033203054 |
|---|---|
| LBN Legal business name | Mares, Marisa |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 25th, 2011 - about 13 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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