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Mark A Amparo
Health Service Psychologist in San Diego, California
NPI 1396374054

Mark A Amparo is a Health Service Psychologist based in San Diego, CA and is specialized in Health Service. Mark A Amparo practices in San Diego, CA. The NPI Number for Mark A Amparo is 1396374054 and holds a License No. (California).

The current practice location address for Mark A Amparo is 5222 Balboa Ave Ste 33, San Diego, CA and can be reached out via phone at 858-874-8868. You can also correspond with Mark A Amparo through the mailing address at PO BOX 939043, SAN DIEGO, CA - 92193-9043 (mailing address contact number: ).

Location: 5222 Balboa Ave Ste 33, San Diego, CA, 92193-9043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396374054
Provider Name
Mark A Amparo
Credential
Provider Entity Type
Individual
Gender
Male
Address
5222 Balboa Ave Ste 33, San Diego, CA, 92193-9043
Phone Number
858-874-8868
Fax Number
Provider Enumeration Date
04/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91202202F80050 05 CA
institution
Provider Business Practice Location Address Details
Address
5222 Balboa Ave Ste 33
City
San Diego
State
California
Zip
92117-6953
Phone Number
858-874-8868
Fax Number
person
Provider Business Mailing Address Details
Address
5222 Balboa Ave Ste 33
City
San Diego
State
California
Zip
92117-6953
Phone Number
858-874-8868
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
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Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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