Individual
DR. MARK RICHARD TREEGOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19420 N 59TH AVE, STE C269, GLENDALE, AZ 85308-2800
(602) 843-5484
(602) 843-5498
Mailing address
19420 N 59TH AVE, STE C269, GLENDALE, AZ 85308-2800
(602) 375-2868
(602) 375-3516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731358
—
AZ
Enumeration date
09/05/2005
Last updated
10/20/2022
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