Individual
MARK G MOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
23282 S. TALKEETNA SPUR ROAD, TALKEETNA, AK 99676
(907) 315-4510
(907) 733-1960
Mailing address
23282 S. TALKEETNA SPUR ROAD, BOX #209, TALKEETNA, AK 99676
(907) 315-4510
(907) 733-1960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
545
AK
Other
Enumeration date
09/25/2008
Last updated
08/20/2010
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