Dr. Marc Andrew Ybaben
Psychologist Health Service Clinical Psychologist Cognitive & Behavioral Psychologist
7238 6th St Bldg 249
Hill Afb
, Utah 84056-5213
Dr. Marc Andrew Ybaben
Psychologist Health Service Clinical Psychologist Cognitive & Behavioral Psychologist
7238 6th St Bldg 249
Hill Afb
, Utah 84056-5213
(562) 477-0441
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Marc Andrew Ybaben
- 1556 26th St
- Ogden, UT
- Zip : 84401-2936
- Phone : (562) 477-0441
Second Address
- Dr. Marc Andrew Ybaben
- 7238 6th St Bldg 249
- Hill Afb, UT
- Zip : 84056-5213
- Phone : (801) 777-1155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSY 17915 | CA |
| N | 103T00000X | Psychologist | PSY 17915 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY 17915 | CA |
| Y | 103G00000X | Clinical Psychologist | PSY 17915 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY 17915 | CA |
| N | 103TH0100X | Health Service | PSY 17915 | CA |
National Provider Identifier
| NPI | 1376696682 |
|---|---|
| Provider Name | Dr. Marc Andrew Ybaben |
| First Address | Ogden, UT 84401-2936 |
| Second Address | Hill Afb, UT 84056-5213 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2007 |
| Last Update Date | 16/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.