Individual
MARY JO CUMMISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78160 MASTERS CIR, LA QUINTA, CA 92253-7355
(760) 989-0384
Mailing address
50855 WASHINGTON ST, LA QUINTA, CA 92253-2891
(760) 989-0384
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210183984
CA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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