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Individual

MARK MAPSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1 MEDICAL PLAZA DRIVE, IRVINE, CA 92697-0002
(949) 824-8600
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
015577
NY
103G00000X
Clinical Neuropsychologist
Primary
PSY29699
CA
103TC0700X
Clinical Psychologist
015577
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02507688
NY
Enumeration date
08/21/2006
Last updated
03/14/2023
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