location
search-icon
person
Mario Antonio Souza, PSYD
Forensic Psychologist in Patton, California
NPI 1386083012

Mario Antonio Souza is a Forensic Psychologist based in La Crescenta, CA and is specialized in Forensic. Mario Antonio Souza practices in Patton, CA and has the professional credentials of PSYD. The NPI Number for Mario Antonio Souza is 1386083012 and holds a License No. (California).

The current practice location address for Mario Antonio Souza is 3102 E Highland Ave, Patton, CA and can be reached out via phone at 909-425-7000.

Location: 3102 E Highland Ave, Patton, CA, 91214-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386083012
Provider Name
Mario Antonio Souza
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
3102 E Highland Ave, Patton, CA, 91214-1158
Phone Number
909-425-7000
Fax Number
Provider Enumeration Date
06/15/2013
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3102 E Highland Ave
City
Patton
State
California
Zip
92369-7813
Phone Number
909-425-7000
Fax Number
person
Provider Business Mailing Address Details
Address
3102 E Highland Ave
City
Patton
State
California
Zip
92369-7813
Phone Number
909-425-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
D6738240 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
()
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.