Individual
MARK DAVID REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 374-6020
Mailing address
12848 OTTER LAKE CT W, JACKSONVILLE, FL 32246-7093
(904) 527-3358
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003034
GA
Other
Enumeration date
01/16/2007
Last updated
07/16/2007
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