Individual
MARK MINEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 753-4518
(641) 753-4203
Mailing address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 753-4518
(641) 753-4203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00440
IA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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