Mary M. Mazaheri
Clinical Psychologist Cognitive & Behavioral Psychologist
312 S Cedros Ave Ste 150
Solana Beach
, California 92075-1942
Mary M. Mazaheri
Clinical Psychologist Cognitive & Behavioral Psychologist
312 S Cedros Ave Ste 150
Solana Beach
, California 92075-1942
(408) 513-5135
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About
Features
Specialties
- Clinical Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Mary M. Mazaheri
- 1872 Avenida La Posta
- Encinitas, CA
- Zip : 92024-7113
- Phone : (408) 513-5135
Second Address
- Mary M. Mazaheri
- 312 S Cedros Ave Ste 150
- Solana Beach, CA
- Zip : 92075-1942
- Phone : (760) 297-7335
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | ||
| N | 103TC0700X | Clinical Psychologist | ||
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 24102 | CA |
| Y | 103G00000X | Clinical Psychologist | 24102 | CA |
| Y | 103TC0700X | Clinical Psychologist | 24102 | CA |
National Provider Identifier
| NPI | 1164794145 |
|---|---|
| Provider Name | Mary M. Mazaheri |
| First Address | Encinitas, CA 92024-7113 |
| Second Address | Solana Beach, CA 92075-1942 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2012 |
| Last Update Date | 12/10/2018 |
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.