Susanna Mark

NPI 1740343920 - Psychologist - 103TC0700X

NPI Details
NPI 1740343920
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
39400 PASEO PADRE PKWY
KAISER PERMANENTE PSYCHIATRY
FREMONT CA, 94538-2310, US
Phone (510) 248-3060
Fax
Business Location
39400 PASEO PADRE PKWY
KAISER PERMANENTE PSYCHIATRY
FREMONT CA, 94538-2310, US
Phone (510) 248-3060
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY17432
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According to our database, Susanna Mark NPI is 1740343920, taxonomy code is 103TC0700X and license number is PSY17432, license state is located at California. Susanna Mark physically located at 39400 Paseo Padre Pkwy, Fremont CA, 94538-2310. NPI Number Susanna Mark has the Individual type.

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1740343920 NPI number is provided on an as is basis without warranty of any kind. 1740343920 is maintained by the National Plan & Provider Enumeration System. The contents of Susanna Mark are for informational purposes only.