Mark W Wrathall, PSY.D. Valid NPI
Individual provider · Clinical Psychologist · Corona, CA
- NPI
- 1043400518
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY20023 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-07-31
- Last updated
- 2007-07-31
Practice location
16756 Chino Corona Rd
Corona, CA 92880-9508
(909) 597-1771