MARK A AMPARO NPI 1396374054

NPI Information

Mark A Amparo is a health service psychologist in San Diego, CA. The provider is 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). Mark A Amparo NPI is 1396374054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5222 BALBOA AVE STE 33
SAN DIEGO, CA
ZIP 92117-953
Phone: (858) 874-8868

The enumeration date for this NPI number is 4/5/2020 and was last updated on 4/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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