Mares, Marisa

Mares, Marisa is an sole proprietor health care provider with primary practice located at 461 W 6Th St Suite 204, San Pedro CA 90731-2694. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Mares, Marisa can be contacted via phone (310) 547-0084.

Contact Information

Primary practice address
461 W 6Th St Suite 204 San Pedro CA 90731-2694
Phone: (310) 547-0084
Fax: (310) 833-5672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 19781 California

Profile Details

NPI number 1033203054
LBN Legal business name Mares, Marisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 25th, 2011 - about 15 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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