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Individual

DR. MARK S. MAGIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
11811 N TATUM BLVD, SUITE 3031, PHOENIX, AZ 85028-1614
(480) 703-6714
(480) 302-7814
Mailing address
11811 N TATUM BLVD, SUITE 3031, PHOENIX, AZ 85028-1614
(480) 703-6714
(480) 302-7814

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4010
AZ
103TC0700X
Clinical Psychologist
PY4322
FL
103TS0200X
School Psychologist
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY4322
LICENSED PSYCHOLOGIST
FL
Enumeration date
09/11/2007
Last updated
01/29/2010
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