Individual
DR. MARK REGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9600 VETERANS DR SW, BLDG 61, TACOMA, WA 98493-0003
(253) 583-3295
Mailing address
9600 VETERANS DR SW, BLDG 61, TACOMA, WA 98493-0003
(253) 583-3295
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY2984
WA
103TC0700X
Clinical Psychologist
PY00002984
WA
Other
Enumeration date
02/22/2006
Last updated
11/05/2015
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