Mark P. Vigen is a Forensic in Shreveport, Louisiana. Mark P. Vigen practices all healthcare services and medical treatments related to Forensic. The NPI Number for Mark P. Vigen is 1457329120. The last update date is 2020-01-08.
Mark P. Vigen's current location address is 3341 Youree Dr Ste 20a, Shreveport, Louisiana. You can contact this provider via phone number 3184252000 and fax number 3184242601. The mailing address for Mark P. Vigen is 3341 Youree Dr Ste 20a, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark P. Vigen |
|---|---|
| Address | 3341 Youree Dr Ste 20a, Shreveport, Louisiana |
| Phone Number | 3184252000 |
| Fax Number | 3184242601 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457329120 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2020-01-08 |
Provider Mailing Address Detail
| Address | 3341 Youree Dr Ste 20a |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711052149 |
| Phone Number | 3184252000 |
| Fax Number | 3184242601 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 280 |
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Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20559 | LA | BLUE CROSS/BLUE SHIELD | |
| 9755 | LA | VALUE OPTIONS |
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What is the unique identifier code issued to Mark P. Vigen by the Centers for Medicare & Medicaid Services (CMS)?
The Mark P. Vigen has been assigned the NPI (National Provider Identifier) 1457329120. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mark P. Vigen located?
The Mark P. Vigen is located at 3341 Youree Dr Ste 20A, Shreveport, LA 711052149.
What is the Mark P. Vigen's area of specialization and corresponding taxonomy classification?
The Mark P. Vigen's specialty field is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1457329120 to Mark P. Vigen?
The Centers for Medicare & Medicaid Services assigned the 1457329120 to Mark P. Vigen on 2006-03-09.
When was the Mark P. Vigen's information last updated?
The Mark P. Vigen's information was last updated on 2020-01-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY