Organization
ADRIENNE MARKS PHD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE K MARKS PH.D (OWNER)
(719) 539-6160
Entity
Organization
Contact information
Practice address
225 EAST 2ND STREET, SALIDA, CO 81201
(719) 539-6160
(719) 539-7151
Mailing address
PO BOX 1411, SALIDA, CO 81201
(719) 539-6160
(719) 539-7151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1364
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400020
—
CO
01
—
C82286
PTAN
CO
Enumeration date
02/09/2007
Last updated
12/17/2008
Update your record
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