Individual
ERIN MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2000 HOGBACK RD STE 2, ANN ARBOR, MI 48105-9735
(734) 890-3519
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301015371
MI
103TC0700X
Clinical Psychologist
Primary
6301015371
MI
Other
Enumeration date
09/25/2013
Last updated
09/20/2023
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