Individual
MARK CAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 979-7766
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 979-7766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6401007692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401007692
LICENSE #
MI
Enumeration date
04/10/2015
Last updated
04/10/2015
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