Dr Mark David Ettensohn, PSYD - Psychologist in Sacramento, CA

Dr Mark David Ettensohn, PSYD is a Psychologist based in Sacramento, California. Dr Mark David Ettensohn is licensed to practice in California (license number PSY 25461) and his current practice location is 835 University Ave, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at (916) 538-3019.

NPI number for Dr Mark David Ettensohn is 1417147703 and his current mailing address is 835 University Ave, Sacramento, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417147703.

Contact Information

Dr Mark David Ettensohn, PSYD
835 University Ave,
Sacramento, CA 95825-6724
(916) 538-3019
Not Available



Healthcare Provider's Profile

Full NameDr Mark David Ettensohn
GenderMale
SpecialityPsychologist
Location835 University Ave, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417147703
  • Provider Enumeration Date: 08/01/2007
  • Last Update Date: 01/03/2013

Medical Identifiers

Medical identifiers for Dr Mark David Ettensohn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417147703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY 25461 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark David Ettensohn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark David Ettensohn, PSYD
835 University Ave,
Sacramento, CA 95825-6724

Ph: (916) 538-3019
Dr Mark David Ettensohn, PSYD
835 University Ave,
Sacramento, CA 95825-6724

Ph: (916) 538-3019

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