Individual
MARK MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4405 MANCHESTER AVE, STE 206, ENCINITAS, CA 92024-7902
(760) 944-9647
(760) 944-7491
Mailing address
4405 MANCHESTER AVE, STE 206, ENCINITAS, CA 92024-7902
(760) 944-9647
(760) 944-7491
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 16390
CA
Other
Enumeration date
04/06/2007
Last updated
11/26/2019
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