Wrathall, Mark W

Wrathall, Mark W is an individual health care provider with primary practice located at 16756 Chino Corona Rd , Corona CA 92880-9508. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wrathall, Mark W can be contacted via phone (909) 597-1771.

Contact Information

Primary practice address
16756 Chino Corona Rd Corona CA 92880-9508
Phone: (909) 597-1771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20023 California

Profile Details

NPI number 1043400518
LBN Legal business name Wrathall, Mark W
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 2007 - about 19 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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