King, Mariam Jane

King, Mariam Jane is an sole proprietor health care provider with primary practice located at 131 Camino Alto Suite E1, Mill Valley CA 94941-2254. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. King, Mariam Jane can be contacted via phone (510) 307-4356.

Contact Information

Primary practice address
131 Camino Alto Suite E1 Mill Valley CA 94941-2254
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY22983 California

Profile Details

NPI number 1821490855
LBN Legal business name King, Mariam Jane
Credentials PSY,.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2014
Last updated Sep 22nd, 2014 - about 12 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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