Individual provider · Type 1 NPI

Mark John Souris, PSYD

Clinical Psychologist · Woodland Hills, CA

NPI number 1003098427 Active

Practice location

21243 Ventura Blvd, Suite 207
Woodland Hills, CA 91364-2109

Fax (747) 300-9246

Mailing address

19701 Tuba St
Chatsworth, CA 91311-3547

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY14283 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003098427

Mark John Souris, PSYD's National Provider Identifier is 1003098427, issued on Nov 27, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Woodland Hills, CA. The record was last updated on Nov 17, 2016.