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Individual
DR. MARK MYERS
Active
Individual
DR. MARK MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14945
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
06/28/2006
Last updated
06/05/2012
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