Individual
DEKE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4199 CAMPUS DR, SUITE 500, IRVINE, CA 92612-4684
(949) 354-4147
Mailing address
23986 ALISO CREEK RD, SUITE 325, LAGUNA NIGUEL, CA 92677-3908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28934
CA
Other
Enumeration date
01/29/2017
Last updated
04/02/2017
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