Individual
DR. MARK R. BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2004 MARION ST D, PSYCHOLOGICAL APPLICATION. DR., FORT BRAGG, NC 28310-0001
(910) 432-6833
(910) 432-9197
Mailing address
2004 MARION ST D, PSYCHOLOGICAL APPLICATION. DR., FORT BRAGG, NC 28310-0001
(910) 432-6833
(910) 432-9197
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
872
AL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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