Marisa Mares, PH.D

NPI 1033203054 · on the registry since 2006 · sole proprietor

Practice

Address: 461 W 6th St
Suite 204
San Pedro, CA 90731
Phone: (310) 547-0084
Fax: (310) 833-5672
Organisation at this address: Pacifica Neuropsychology Center
Pacifica Neuropsychology Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 103G00000X
103G00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California