Most Relevant Information
Provider Data
| NPI Number: | 1003825290 |
| Provider Name: | MARI MARKS PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY12536 |
Most Important Dates
| Enumeration Date: | 08/05/2006 |
| Last Updated: | 04/18/2019 |
Provider Practice Location
6430 W SUNSET BLVD STE 1180
LOS ANGELES
CA
90028
Practice Location Phone/Fax
| Phone: | 3104722523 |
| Fax: | 3234672308 |
Provider Mailing Location
6430 W SUNSET BLVD STE 1180
LOS ANGELES
CA
900288029
Provider Mailing Phone/Fax
| Phone: | 3104722523 |
| Fax: | 3234672308 |