NPI 1033203054

Marisa Mares, PHD

Practitioner Clinical Neuropsychologist San Pedro, CA

Practice location

Address: 461 W 6th St Suite 204, San Pedro, CA 90731-2694
Phone: (310) 547-0084
Fax: (310) 833-5672

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY 19781 (CA)

Other Clinical Neuropsychologist providers in California →

Registry record

NPI: 1033203054
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 25 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.