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Organization
MARK LYTLE ASSOCIATES A PSYCHOLOGY CORPORATION
Active
Organization
MARK LYTLE ASSOCIATES A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S LYTLE PSYD (OWNER)
(858) 566-4748
Entity
Organization
Contact information
Practice address
3636 4TH AVE, #302, SAN DIEGO, CA 92103-4280
(858) 566-4748
(858) 566-4748
Mailing address
11280 TRIBUNA AVE, SAN DIEGO, CA 92131-1929
(858) 566-4748
(858) 566-4748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY120892
—
CA
Enumeration date
11/29/2010
Last updated
03/08/2011
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