Individual
MARK ALLEN STAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008838
MI
Other
Enumeration date
03/22/2006
Last updated
11/26/2024
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