Individual
DR. MARK ERWIN PRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13907 N DALE MABRY HWY, SUITE 204, TAMPA, FL 33618-2411
(813) 961-7727
(813) 961-0354
Mailing address
13907 N DALE MABRY HWY, SUITE 204, TAMPA, FL 33618-2411
(813) 961-7727
(813) 961-0354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4250
FL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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