| Marni Greenberg, Psy.d. Clinical Psychologist Pc | |
|
3990 Old Town Ave Ste A208 San Diego CA 92110-2967 | |
| (858) 432-3290 | |
| (619) 228-9503 |
| Full Name | Marni Greenberg, Psy.d. Clinical Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3990 Old Town Ave Ste A208, San Diego, California |
| Authorized Official Name and Position | Marni Greenberg (OWNER) |
| Authorized Official Contact | 8584323290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marni Greenberg, Psy.d. Clinical Psychologist Pc 3990 Old Town Ave Ste A208 San Diego CA 92110-2967 Ph: (858) 432-3290 | Marni Greenberg, Psy.d. Clinical Psychologist Pc 3990 Old Town Ave Ste A208 San Diego CA 92110-2967 Ph: (858) 432-3290 |
| NPI Number | 1861841645 |
|---|---|
| Provider Enumeration Date | 06/12/2016 |
| Last Update Date | 06/12/2016 |
| Medicare PECOS PAC ID | 5890075543 |
|---|---|
| Medicare Enrollment ID | O20161215000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861841645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23970 (California) | Primary |
| Provider Name | Marni Leah Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215183975 PECOS PAC ID: 4385825512 Enrollment ID: I20110222000493 |
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