Individual
DR. MARK ANTHONY GORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
100 W RIDGE AVE STE J, SHARPSVILLE, PA 16150-1282
(724) 962-3125
(724) 962-3235
Mailing address
100 W RIDGE AVE STE J, SHARPSVILLE, PA 16150-1282
(724) 962-3125
(724) 962-3235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008187L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017090360003
—
PA
01
—
462544
VALUE OPTIONS
PA
01
—
GO115812
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/18/2005
Last updated
08/31/2022
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