Individual
DR. MARK DAVID CORGIAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1829 CHOCTAW RDG, OGDEN, UT 84403-4636
(801) 317-4502
Mailing address
PO BOX 150941, OGDEN, UT 84415-0941
(801) 317-4502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6344743-2501
UT
Other
Enumeration date
01/04/2007
Last updated
06/14/2021
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