Individual
MARK PRIMOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
Mailing address
2990 LURVEY LN, GRAND JUNCTION, CO 81504-5649
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0006575
CO
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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