Pacifica Neuropsychology Center
NPI #1962783951 in San Pedro, California
Provider Information
- NPI Number
- 1962783951
- Entity Type
- Organization
- Organization Name
- Pacifica Neuropsychology Center
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Jan 26, 2017
Practice Location
- Address
- 461 W 6TH ST, SUITE 211
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-2694
- Phone
- (310) 547-0084
Authorized Official
- Name
- MARISA MARES, PH.D
- Title
- CLINICAL DIRECTOR
- Phone
- (310) 547-0084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Clinical Neuropsychologist |
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