Mark Forkum is a School in Phoenix, Arizona. Mark Forkum practices all healthcare services and medical treatments related to School. The NPI Number for Mark Forkum is 1679787659. The last update date is 2007-07-26.
Mark Forkum's current location address is 9020 N Arroya Vista Dr, Phoenix, Arizona. You can contact this provider via phone number 4808394222. The mailing address for Mark Forkum is 9020 N Arroya Vista Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Forkum |
|---|---|
| Address | 9020 N Arroya Vista Dr, Phoenix, Arizona |
| Phone Number | 4808394222 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679787659 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 9020 N Arroya Vista Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850285306 |
| Phone Number | 4808394222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
|
Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 639437 | AZ | AHCCS PROVIDER NUMBER |
Post Comment/ Review Below
What is the Mark Forkum's unique identification number?
The Mark Forkum has been assigned the NPI (National Provider Identifier) Number 1679787659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mark Forkum?
The Mark Forkum is physically situated at 9020 N Arroya Vista Dr, in the city of Phoenix, state of AZ, with the postal code 850285306.
What is the Mark Forkum's area of specialization and corresponding taxonomy classification?
The Mark Forkum's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1679787659 assigned to Mark Forkum?
The Mark Forkum was issued its 1679787659 on 2007-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Forkum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Forkum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-26.
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