Individual
LASHLEY MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4202 E FOWLER AVE STOP SVC2124, TAMPA, FL 33620-6970
(813) 974-9303
Mailing address
10441 2ND WAY N APT A, SAINT PETERSBURG, FL 33716-3938
(727) 510-9024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9392
FL
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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