Individual
JEFFREY DAVID MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1287 COUNTY WELFARE RD, LEESPORT, PA 19533-9197
(610) 208-4800
Mailing address
3940 LOCUST LN, HARRISBURG, PA 17109-4023
(717) 545-5787
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 006280 L
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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