| Mark Lytle Associates A Psychology Corporation | |
|
3636 4th Ave #302 San Diego CA 92103-4280 | |
| (858) 566-4748 | |
| (858) 566-4748 |
| Full Name | Mark Lytle Associates A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 3636 4th Ave, San Diego, California |
| Authorized Official Name and Position | Mark S Lytle (OWNER) |
| Authorized Official Contact | 8585664748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lytle Associates A Psychology Corporation 11280 Tribuna Ave San Diego CA 92131-1929 Ph: (858) 566-4748 | Mark Lytle Associates A Psychology Corporation 3636 4th Ave #302 San Diego CA 92103-4280 Ph: (858) 566-4748 |
| NPI Number | 1679875520 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 03/08/2011 |
| Medicare PECOS PAC ID | 5193907384 |
|---|---|
| Medicare Enrollment ID | O20110309000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679875520 | NPI | - | NPPES |
| PSY120892 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY12089 (California) | Primary |
| Provider Name | Mark S Lytle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801956198 PECOS PAC ID: 3577745777 Enrollment ID: I20110309000648 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |