Marquis, Willa Amelia Smyke

Marquis, Willa Amelia Smyke is an sole proprietor health care provider with primary practice located at 5252 Balboa Ave Ste 500 , San Diego CA 92117-6935. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Marquis, Willa Amelia Smyke can be contacted via phone (619) 432-7332.

Contact Information

Primary practice address
5252 Balboa Ave Ste 500 San Diego CA 92117-6935
Phone: (619) 432-7332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY30756 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY30756 California

Profile Details

NPI number 1154757029
LBN Legal business name Marquis, Willa Amelia Smyke
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2013
Last updated Aug 28th, 2023 - about 2 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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