Newcomer, Mary Grover

Newcomer, Mary Grover is an individual health care provider with primary practice located at 205 Camino Alto Ste 270, Mill Valley CA 94941. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Newcomer, Mary Grover can be contacted via phone (415) 457-0424.

Contact Information

Primary practice address
205 Camino Alto Ste 270 Mill Valley CA 94941
Phone: (415) 457-0424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12391 California

Profile Details

NPI number 1649478488
LBN Legal business name Newcomer, Mary Grover
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1649478488 NPPES
California Other OPL123910 BLUE SHIELD

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