Dr. Mary B Macken
Clinical Psychologist Clinical Child & Adolescent Psychologist
7432 Cabrillo Ave
La Jolla
, California 92037-5201
Dr. Mary B Macken
Clinical Psychologist Clinical Child & Adolescent Psychologist
7432 Cabrillo Ave
La Jolla
, California 92037-5201
(858) 551-2003
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Mary B Macken
- 7432 Cabrillo Ave
- La Jolla, CA
- Zip : 92037-5201
- Phone : (858) 551-2003
Second Address
- Dr. Mary B Macken
- 7432 Cabrillo Ave
- La Jolla, CA
- Zip : 92037-5201
- Phone : (858) 551-2003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 22982 | CA |
| Y | 103TC0700X | Clinical Psychologist | 22982 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 22982 | CA |
National Provider Identifier
| NPI | 1114038346 |
|---|---|
| Provider Name | Dr. Mary B Macken |
| First Address | La Jolla, CA 92037-5201 |
| Second Address | La Jolla, CA 92037-5201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 25/09/2009 |
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.