Individual
MARCIA AMPONSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W 5TH ST STE 308, SAN PEDRO, CA 90731-2750
(424) 570-6955
Mailing address
302 W 5TH ST STE 308, SAN PEDRO, CA 90731-2750
(424) 570-6955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
942029319
CA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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