Individual
DR. MARK LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
75 STATE ST FL 26, BOSTON, MA 02109-1827
(617) 204-3500
Mailing address
1840 S GAFFEY ST, # 44, SAN PEDRO, CA 90731-5324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
103TC0700X
Clinical Psychologist
29157
CA
Other
Enumeration date
04/24/2014
Last updated
02/22/2022
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