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:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649478488 | NPPES |
California | Other | OPL123910 | BLUE SHIELD |
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