Individual
DR. MARCY ANN WITKIN LUPO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 BRANDYWINE ST, SAN DIEGO, CA 92117-5605
(858) 270-0787
(858) 274-5541
Mailing address
3435 BRANDYWINE ST, SAN DIEGO, CA 92117-5605
(858) 270-0787
(858) 274-5541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 17157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516034
—
CA
Enumeration date
04/22/2006
Last updated
07/09/2007
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