Mark W Wrathall is a Clinical in Corona, California. Mark W Wrathall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark W Wrathall is 1043400518. The last update date is 2007-07-31.
Mark W Wrathall's current location address is 16756 Chino Corona Rd, Corona, California. You can contact this provider via phone number 9095971771. The mailing address for Mark W Wrathall is 16756 Chino Corona Rd, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Wrathall |
|---|---|
| Address | 16756 Chino Corona Rd, Corona, California |
| Phone Number | 9095971771 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1043400518 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2007-07-31 |
Provider Mailing Address Detail
| Address | 16756 Chino Corona Rd |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928809508 |
| Phone Number | 9095971771 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20023 |
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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 Mark W Wrathall's unique identification number?
The Mark W Wrathall has been assigned the NPI (National Provider Identifier) Number 1043400518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mark W Wrathall is physically located?
The Mark W Wrathall is situated at the following address: 16756 Chino Corona Rd, Corona, CA 928809508.
What is Mark W Wrathall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark W Wrathall is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Mark W Wrathall's 1043400518 issued?
The Mark W Wrathall's 1043400518 was issued on 2007-07-31.
As of what date were the details pertaining to Mark W Wrathall last refreshed?
The information related to the Mark W Wrathall, including its address, specialty, and other relevant details, was last updated on 2007-07-31.
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