Individual
DR. JONATHAN DAVID MAHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
61 CAMINO ALTO STE 106, MILL VALLEY, CA 94941-2910
(415) 567-7751
(866) 295-5532
Mailing address
61 CAMINO ALTO STE 106, MILL VALLEY, CA 94941-2910
(415) 567-7751
(866) 295-5532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 14351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145580500
OWCP
CA
Enumeration date
07/03/2006
Last updated
04/18/2012
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