Vigil Dombeck, Mark Jeffrey

Vigil Dombeck, Mark Jeffrey is an individual health care provider with primary practice located at 1402 Park St Ste G , Alameda CA 94501-4562. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vigil Dombeck, Mark Jeffrey can be contacted via phone (510) 900-5123.

Contact Information

Primary practice address
1402 Park St Ste G Alameda CA 94501-4562
Phone: (510) 900-5123
Fax: (888) 974-4218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY25695 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY25695 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25695 California

Profile Details

NPI number 1689019812
LBN Legal business name Vigil Dombeck, Mark Jeffrey
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated Nov 19th, 2017 - about 9 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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