Individual
DR. MARK ANTHONY PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1876 CAMPUS DELIVERY # CLARKC07, FORT COLLINS, CO 80523-1876
(619) 994-1518
Mailing address
3203 SNOWBRUSH PL, FORT COLLINS, CO 80521-7549
(619) 994-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004925
CO
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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