Provider Demographics
NPI:1801644737
Name:ANDREAS MARWICK PSYCHOLOGIST INC
Entity type:Organization
Organization Name:ANDREAS MARWICK PSYCHOLOGIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-945-4686
Mailing Address - Street 1:1759 OCEANSIDE BLVD, STE C, #322
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054
Mailing Address - Country:US
Mailing Address - Phone:858-945-4686
Mailing Address - Fax:
Practice Address - Street 1:1410 BELLEAIRE ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-5502
Practice Address - Country:US
Practice Address - Phone:858-945-4686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty