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Contact Information

MARK JESINOSKI, PHD., LLC
205 N MAIN AVE
FALLBROOK, CA92028
 Phone: 858-414-1141
 Fax: 888-578-9808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK JESINOSKI PHD LLC · (Female)

NPI # 1356047187
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2023
Last updated 02/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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