Ettenhofer, Mark L

Ettenhofer, Mark L is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ettenhofer, Mark L can be contacted via phone (301) 678-3321.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (301) 678-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 04643 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04643 Maryland

Profile Details

NPI number 1922480755
LBN Legal business name Ettenhofer, Mark L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Mar 15th, 2024 - 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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