Maryanne None Cordahl, PHD - Psychologist in La Jolla, CA

Maryanne None Cordahl, PHD is a Psychologist - Clinical based in La Jolla, California. Maryanne None Cordahl is licensed to practice in California (license number 21025) and her current practice location is 9404 Genesee Ave, Suite 335, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at (858) 717-4200.

NPI number for Maryanne None Cordahl is 1487817292 and her current mailing address is 9404 Genesee Ave, Suite 335, La Jolla, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487817292.

Contact Information

Maryanne None Cordahl, PHD
9404 Genesee Ave, Suite 335,
La Jolla, CA 92037
(858) 717-4200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMaryanne None Cordahl
GenderFemale
SpecialityPsychologist - Clinical
Location9404 Genesee Ave, La Jolla, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487817292
  • Provider Enumeration Date: 07/02/2008
  • Last Update Date: 07/02/2008

Medical Identifiers

Medical identifiers for Maryanne None Cordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487817292NPI-NPPES
21025OtherCALICENSED CLINICAL PSYCHOLOGIST
51664OtherCANATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 21025 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryanne None Cordahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryanne None Cordahl, PHD
9404 Genesee Ave, Suite 335,
La Jolla, CA 92037

Ph: (858) 717-4200
Maryanne None Cordahl, PHD
9404 Genesee Ave, Suite 335,
La Jolla, CA 92037

Ph: (858) 717-4200

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