Dr. Willa Amelia Smyke Marquis
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
1010 Turquoise St Ste 303
San Diego
, California 92109-1268
Dr. Willa Amelia Smyke Marquis
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
1010 Turquoise St Ste 303
San Diego
, California 92109-1268
(619) 432-7332
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Willa Amelia Smyke Marquis
- 1010 Turquoise St Ste 303
- San Diego, CA
- Zip : 92109-1268
- Phone : (619) 432-7332
Second Address
- Dr. Willa Amelia Smyke Marquis
- 1010 Turquoise St Ste 303
- San Diego, CA
- Zip : 92109-1268
- Phone : (619) 432-7332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY30756 | CA |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY30756 | CA |
National Provider Identifier
| NPI | 1154757029 |
|---|---|
| Provider Name | Dr. Willa Amelia Smyke Marquis |
| First Address | San Diego, CA 92109-1268 |
| Second Address | San Diego, CA 92109-1268 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2013 |
| Last Update Date | 27/07/2021 |
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.