| Doctor Name: | DR. DOROTHY J. MARRON |
| NPI Number: | 1043230808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.H.D. |
| License Number: | PSY9126 |
| Business Practice Address: | 15525 Pomerado Rd Ste E4 Poway, CA - 920642427 |
| Business Phone Number: | 8586739600 |
| Business Fax Number: | 8584511104 |
| Mailing Address: | 15525 Pomerado Rd Ste E4, POWAY |
| State: | CA |
| Postal Code: | 920642427 |
| Phone Number: | 8586739600 |
| Fax Number: | 8584511104 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY9126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |