Myers, Mark

Myers, Mark is an individual health care provider with primary practice located at 3350 La Jolla Village Dr Vasdhs, 116B, San Diego CA 92161-0002. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Myers, Mark can be contacted via phone (858) 642-3436.

Contact Information

Primary practice address
3350 La Jolla Village Dr Vasdhs, 116B San Diego CA 92161-0002
Phone: (858) 642-3436
Fax: (858) 552-7414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14945 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1891723110
LBN Legal business name Myers, Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 5th, 2012 - 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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