Individual
DR. MARC ANDREW YBABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7238 6TH ST BLDG 249, HILL AFB, UT 84056-5213
(801) 777-1163
Mailing address
7238 6TH ST BLDG 249, HILL AFB, UT 84056-5213
(801) 777-1163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 17915
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 17915
CA
103TC0700X
Clinical Psychologist
Primary
PSY 17915
CA
103TH0100X
Health Service Psychologist
PSY 17915
CA
Other
Enumeration date
01/19/2007
Last updated
02/05/2025
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