Individual
DR. JOHN MARK PRICHARD
Active
Individual
DR. JOHN MARK PRICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0623
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283551700
—
MN
01
—
6133246
MEDICA PROVIDER NUMBER
MN
01
—
9L867PR
BLUECROSS BLUESHIELD
MN
Enumeration date
08/22/2005
Last updated
12/20/2013
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