Marilyn Sue Immoos PH.D.

NPI 1417111709 - Psychologist - 103TC0700X

NPI Details
NPI 1417111709
Gender Female
Enumeration Date 07/15/2008
Last Updated 07/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
323 EDGEBROOK DR
IONE CA, 95640-5204, US
Phone (209) 274-2362
Fax
Business Location
323 EDGEBROOK DR
IONE CA, 95640-5204, US
Phone (209) 274-2362
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY20281
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According to our database, Dr. Marilyn Sue Immoos PH.D. NPI is 1417111709, taxonomy code is 103TC0700X and license number is PSY20281, license state is located at California. Marilyn Sue Immoos PH.D. physically located at 323 Edgebrook Dr, Ione CA, 95640-5204. NPI Number Marilyn Sue Immoos PH.D. has the Individual type.

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1417111709 NPI number is provided on an as is basis without warranty of any kind. 1417111709 is maintained by the National Plan & Provider Enumeration System. The contents of Marilyn Sue Immoos PH.D. are for informational purposes only.