Individual
MARK STEPHEN HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
202 SOUTH MAIN STREET, SUITE 228, ABERDEEN, SD 57401-4114
(605) 229-1500
(605) 229-4357
Mailing address
202 SOUTH MAIN STREET, SUITE 228, ABERDEEN, SD 57401-4114
(605) 229-1500
(605) 229-4357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 129
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6552010
—
SD
Enumeration date
10/21/2006
Last updated
07/08/2007
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