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Individual

DR. MARK P FEINSILBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6030 BETHELVIEW RD, SUITE 401, CUMMING, GA 30040-8020
(770) 205-5760
(770) 205-5780
Mailing address
6030 BETHELVIEW RD, SUITE 401, CUMMING, GA 30040-8020
(770) 205-5760
(770) 205-5780

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
896
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
581832456
TAX I.D.
GA
Enumeration date
10/12/2006
Last updated
07/08/2007
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