Individual provider · Type 1 NPI
Mark David Ettensohn, PSY.D.
Psychologist · Sacramento, CA
Practice location
835 University Ave
Sacramento, CA 95825-6724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY 25461 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1417147703
Mark David Ettensohn, PSY.D.'s National Provider Identifier is 1417147703, issued on Aug 1, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 3, 2013.