# DR. WILLA AMELIA SMYKE MARQUIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154757029
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | PSY30756 | CA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY30756 | CA | Yes |

## Other

- **Enumeration date:** 09/23/2013
- **Last updated:** 08/28/2023
