Individual
DR. MARK RAYMOND MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1176 GRANT ST, SUITE 2220, INDIANA, PA 15701-2870
(724) 599-4300
(724) 357-6946
Mailing address
1176 GRANT ST, SUITE 2220, INDIANA, PA 15701-2870
(724) 599-4300
(724) 357-6946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016568
PA
Other
Enumeration date
04/02/2008
Last updated
08/22/2010
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