Individual
MARK MACOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
130 AUSTINE DR, BRATTLEBORO, VT 05301-7040
(802) 444-8593
Mailing address
PO BOX 1245, BRATTLEBORO, VT 05302-1245
(802) 444-8593
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048.0134262
VT
103TC0700X
Clinical Psychologist
048.0134262
VT
Other
Enumeration date
11/03/2021
Last updated
07/26/2024
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