Individual
DR. MARK ANTHONY GORAL
Active
Individual
DR. MARK ANTHONY GORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
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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