Individual
THOMAS DAVID MARCOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
220 DICKINSON ST, SUITE B, SAN DIEGO, CA 92103-2071
(619) 543-5044
Mailing address
PO BOX 19088, SAN DIEGO, CA 92159-0088
(619) 543-5044
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
15428
CA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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