Individual
DR. MARK J HARVANCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
701 STOCKTON HILL RD STE N, KINGMAN, AZ 86401-7103
(928) 727-7776
(928) 753-6938
Mailing address
701 STOCKTON HILL RD STE N, KINGMAN, AZ 86401-7103
(928) 727-7776
(928) 753-6938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2087
AZ
Other
Enumeration date
09/23/2005
Last updated
05/21/2010
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