Individual
DR. MARK THOMAS SCHIRMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4420 DIXIE HWY STE 114, LOUISVILLE, KY 40216-2986
(502) 449-6464
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20043301A
IN
103TC0700X
Clinical Psychologist
Primary
242610
KY
Other
Enumeration date
03/05/2018
Last updated
12/01/2020
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