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GLENN R MARKS PHD

Clinical Neuropsychologist

Tucson, Arizona

Provider NPI: 1447247960

Provider Information:
 GLENN R MARKS PHD
Gender: M
Sole Proprietor


Practice Location:
4750 N CAMINO LUZ  TUCSON, AZ 85718 US
Tel: 520-299-4806  Fax: 520-323-3739

Business Mailing Address:
430 N TUCSON BLVD  TUCSON, AZ 85716 US
Tel: 520-299-4806  Fax: 520-323-3739

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ3558
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
AZ3558

Other Provider Identifiers:

IssuerNumberStateType
Z75774AZ08
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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