Witkin Lupo, Marcy Ann

Witkin Lupo, Marcy Ann is an individual health care provider with primary practice located at 3435 Brandywine St , San Diego CA 92117-5605. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Witkin Lupo, Marcy Ann can be contacted via phone (858) 270-0787.

Contact Information

Primary practice address
3435 Brandywine St San Diego CA 92117-5605
Phone: (858) 270-0787
Fax: (858) 274-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 17157 California

Profile Details

NPI number 1154387843
LBN Legal business name Witkin Lupo, Marcy Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154387843 NPPES
California MEDICAID 0516034

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