Mark Philo Short is a Clinical in Las Vegas, Nevada. Mark Philo Short practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Philo Short is 1124291778. The last update date is 2016-08-04.
Mark Philo Short's current location address is 2780 S Jones Blvd Ste 108, Las Vegas, Nevada. You can contact this provider via phone number 7026063295. The mailing address for Mark Philo Short is 2780 S Jones Blvd Ste 108, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Philo Short |
|---|---|
| Address | 2780 S Jones Blvd Ste 108, Las Vegas, Nevada |
| Phone Number | 7026063295 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1124291778 |
|---|---|
| Provider Enumeration Date | 2008-04-03 |
| Last Updated Date | 2016-08-04 |
Provider Mailing Address Detail
| Address | 2780 S Jones Blvd Ste 108 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891465625 |
| Phone Number | 7026063295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0780 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Mark Philo Short by the Centers for Medicare & Medicaid Services?
The Mark Philo Short has been assigned the NPI (National Provider Identifier) 1124291778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mark Philo Short?
The Mark Philo Short is physically situated at 2780 S Jones Blvd Ste 108, in the city of Las Vegas, state of NV, with the postal code 891465625.
What is Mark Philo Short's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Philo Short's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1124291778 assigned to Mark Philo Short?
The Mark Philo Short was issued its 1124291778 on 2008-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark Philo Short most recently updated or revised?
The information pertaining to Mark Philo Short, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-04.