Mark Scott Demanes, PH.D., MFT
Individual provider Active NPI Marriage & Family Therapist · Copperopolis, CA
NPI 1891975108 · NPPES record last updated Nov 5, 2007
Key facts
- NPI
- 1891975108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC27768 (CA)
- Practice address
- 120 Athena Dr
Copperopolis, CA 95228-9329 - Phone
- (510) 435-5298
- NPI assigned
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC27768 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC27768 | CA | Yes |
Addresses
Primary practice location
120 Athena Dr
Copperopolis, CA 95228-9329
Mailing address
120 Athena Drive
Copperopolis, CA 95228
Phone (510) 435-5298
Other providers in Copperopolis, CA
- Erin C Bremer
- Broken Horse Rescue
- Sofia R. Bulahan
- Copperopolis Dental Kirandeep Kaur DDS Gen PTR
- Copperopolis Pharmacy
- Jennifer Cathryn Dewey
- Polly Chrysanthemum Dodds
- Emotional and Behavioral Helath Services
- Richard Wesley French
- Ocean Reid Grohman
All providers in Copperopolis, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.