Individual
MARK T BARISA
Active
Individual
MARK T BARISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
34011
TX
103TC0700X
Clinical Psychologist
34011
TX
103TC1900X
Counseling Psychologist
34011
TX
103TE1100X
Exercise & Sports Psychologist
34011
TX
103TH0004X
Health Psychologist
34011
TX
103TR0400X
Rehabilitation Psychologist
34011
TX
Other
Enumeration date
08/15/2006
Last updated
12/29/2021
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