Individual
DR. MARK FRANCIS YAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
PSYCHOLOGY AND COMM STUDIES, UNIVERSITY OF IDAHO, MOSCOW, ID 83844-3043
(208) 885-7376
(208) 885-7710
Mailing address
PSYCHOLOGY AND COMM STUDIES, UNIVERSITY OF IDAHO, MOSCOW, ID 83844-3043
(208) 885-7376
(208) 885-7710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-204
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060033
—
ID
Enumeration date
02/22/2007
Last updated
07/09/2007
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