Individual
GLENN R MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4750 N CAMINO LUZ, TUCSON, AZ 85718-5819
(520) 299-4806
(520) 323-3739
Mailing address
430 N TUCSON BLVD, TUCSON, AZ 85716-4745
(520) 299-4806
(520) 323-3739
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3558
AZ
103T00000X
Psychologist
Primary
3558
AZ
Other
Enumeration date
09/30/2005
Last updated
10/25/2007
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