Individual
DR. MARK T STOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2200 E SUNSHINE ST, 312, SPRINGFIELD, MO 65804-1819
(417) 881-1580
(417) 881-7004
Mailing address
2935 E EASTWOOD ST, SPRINGFIELD, MO 65804-1911
(417) 882-5521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01137
MO
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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