Individual
MARK ANDREW MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2530 DEBARR RD, ANCHORAGE, AK 99508-2948
(907) 258-7575
Mailing address
2530 DEBARR RD, ANCHORAGE, AK 99508-2948
(907) 258-7575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
133440
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13340
STATE LICENSE
AK
Enumeration date
04/25/2019
Last updated
04/25/2019
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