Individual
DR. MARK A WHISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
MUENZINGER D319, BOULDER, CO 80309-0345
(303) 492-8569
Mailing address
345 UCB, BOULDER, CO 80309-0345
(303) 492-8569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0002802
CO
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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