Healthcare Provider Details

I. General information

NPI: 1184182214
Provider Name (Legal Business Name): ANDREAS MARWICK PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 OCEANSIDE BLVD STE C
OCEANSIDE CA
92054-3449
US

IV. Provider business mailing address

1759 OCEANSIDE BLVD, STE C #322
OCEANSIDE CA
92054-3449
US

V. Phone/Fax

Practice location:
  • Phone: 619-431-2272
  • Fax: 619-768-5705
Mailing address:
  • Phone: 619-431-2272
  • Fax: 619-768-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY32304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: