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Individual

DR. MARK R DEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
90 CONZ ST, SUITE 220, NORTHAMPTON, MA 01060-3881
(413) 487-7949
(413) 586-8299
Mailing address
PO BOX 848, NORTHAMPTON, MA 01061-0848
(413) 587-7949
(413) 586-8299

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6085
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0527076
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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