Mark John Souris, PSYD

NPI #1003098427 in Woodland Hills, California

Provider Information

NPI Number: 1003098427
Entity Type: Individual
Name: Mark John Souris, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Nov 27, 2007
Last Updated: Nov 17, 2016

Practice Location

Address: 21243 VENTURA BLVD
Address 2: SUITE 207
City: Woodland Hills
State: California
ZIP Code: 91364-2109
Phone: (818) 635-9705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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