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Individual
DR. MARK EMERSON
Active
Individual
DR. MARK EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 17342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240609
MHN PROVIDER NUMBER
CA
Enumeration date
12/21/2006
Last updated
11/18/2011
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