Individual
CHARLA MARKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Mailing address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2003024040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499234409
—
MO
Enumeration date
06/22/2006
Last updated
10/13/2014
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