Individual
DR. MARK CHRISTOPHER WISELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
711 MCNAB PARKWAY, SAN MANUEL, AZ 85631
(520) 385-2337
(520) 385-2621
Mailing address
PO BOX 406, SAN MANUEL, AZ 85631-0406
(520) 385-2337
(520) 385-2621
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
03/07/2007
Last updated
07/26/2007
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