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Individual

MARC A NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
200 W ARBOR DR, MC 8201, SAN DIEGO, CA 92103-9001
(619) 497-6659
(619) 543-3183
Mailing address
200 W ARBOR DR, MC 8201, SAN DIEGO, CA 92103-9001
(619) 497-6659
(619) 543-3183

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16278
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY162780
CA
Enumeration date
12/12/2006
Last updated
07/08/2007
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