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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK MCDONOUGH, PH.D.

Active Sole Proprietor

MARK MCDONOUGH, PH.D. is a Clinical Neuropsychologist healthcare provider located in ENCINITAS, California. NPI 1427171412 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · ENCINITAS, CA

Registration Details

NPI Number
1427171412
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2007 (19.381046555603 yrs)
Last Updated
Nov 26, 2019
License
PSY 16390 (CA)
Sole Proprietor
Yes

Practice Information

Address
4405 MANCHESTER AVE
STE 206
ENCINITAS, CA, 920247902
Browse CA providers · Browse ZIP 92024
Phone
7609449647
Fax
7609447491
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in ENCINITAS, CA

Name Credential NPI
SUNITA BAVA PH.D. 1538500715
DR. DAVID A. WITKOWSKI PHD 1508745860
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.