Individual
DR. MICHELLE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 WILLIAM PACA CT, GLENMONT, NY 12077-3308
(518) 478-0093
(518) 478-9038
Mailing address
5 WILLIAM PACA CT, GLENMONT, NY 12077-3308
(518) 478-0093
(518) 478-9038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011783-1
NY
103T00000X
Psychologist
312150
MA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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