Mark W. Izzard is a Clinical in Amarillo, Texas. Mark W. Izzard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark W. Izzard is 1376550947. The last update date is 2007-07-08.
Mark W. Izzard's current location address is 1208 Wolflin Ave, Amarillo, Texas. You can contact this provider via phone number 8064687980 and fax number 8064687987. The mailing address for Mark W. Izzard is 1208 Wolflin Ave, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W. Izzard |
|---|---|
| Address | 1208 Wolflin Ave, Amarillo, Texas |
| Phone Number | 8064687980 |
| Fax Number | 8064687987 |
| Sole Proprietor | Y |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1376550947 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1208 Wolflin Ave |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791092252 |
| Phone Number | 8064687980 |
| Fax Number | 8064687987 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 30789 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0012GD | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark W. Izzard by the Centers for Medicare & Medicaid Services?
The Mark W. Izzard has been issued the NPI (National Provider Identifier) 1376550947, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark W. Izzard's physical address?
The Mark W. Izzard is physically located at 1208 Wolflin Ave, in the city of Amarillo, TX, with the postal code 791092252.
What is Mark W. Izzard'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. Izzard is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Mark W. Izzard receive its 1376550947?
The Mark W. Izzard was issued its 1376550947 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark W. Izzard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark W. Izzard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY