Susanna Mark is a Clinical in Fremont, California. Susanna Mark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susanna Mark is 1740343920. The last update date is 2007-07-08.
Susanna Mark's current location address is 39400 Paseo Padre Pkwy, Fremont, California. You can contact this provider via phone number 5102483060. The mailing address for Susanna Mark is 39400 Paseo Padre Pkwy, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanna Mark |
|---|---|
| Address | 39400 Paseo Padre Pkwy, Fremont, California |
| Phone Number | 5102483060 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740343920 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39400 Paseo Padre Pkwy |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945382310 |
| Phone Number | 5102483060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17432 |
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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 identifier code issued to Susanna Mark by the Centers for Medicare & Medicaid Services?
The Susanna Mark has been assigned the NPI (National Provider Identifier) 1740343920 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susanna Mark?
The Susanna Mark is situated at 39400 Paseo Padre Pkwy, in the city of Fremont, state of CA, with the zip code 945382310.
What is Susanna Mark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susanna Mark is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Susanna Mark receive its 1740343920?
The Susanna Mark was issued its 1740343920 on 2006-12-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Susanna Mark's details last updated?
The information pertaining to the Susanna Mark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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