DR. Mary B Macken, PH. D

NPI #1114038346 in La Jolla, California

Provider Information

NPI Number
1114038346
Entity Type
Individual
Name
DR. Mary B Macken, PH. D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH. D
Enumeration Date
Aug 31, 2006
Last Updated
Sep 25, 2009

Practice Location

Address
7432 CABRILLO AVE
ZIP Code
92037-5201
Phone
(858) 551-2003

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Psychologist - Clinical Child & AdolescentClinical Child & Adolescent

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