Individual
DR. MARK L PARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12584 DARBY BROOK CT, WOODBRIDGE, VA 22192-2485
(793) 431-3940
Mailing address
8028 OAK HOLLOW LN, FAIRFAX STATION, VA 22039-2627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005324
VA
Other
Enumeration date
10/13/2005
Last updated
08/09/2021
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