Individual
DR. DAVID MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
408 ANTHWYN RD, NARBERTH, PA 19072-2302
(610) 664-5302
(215) 349-5171
Mailing address
408 ANTHWYN RD, NARBERTH, PA 19072-2302
(610) 664-5302
(215) 349-5171
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PS-004947-L
PA
103TC0700X
Clinical Psychologist
Primary
PS-004947-L
PA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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