Individual
DR. WILLA AMELIA SMYKE MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5252 BALBOA AVE STE 500, SAN DIEGO, CA 92117-6935
(619) 432-7332
Mailing address
5252 BALBOA AVE STE 500, SAN DIEGO, CA 92117-6935
(619) 432-7332
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY30756
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY30756
CA
Other
Enumeration date
09/23/2013
Last updated
08/28/2023
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