Mark Wallen is a Psychiatry in Bellmawr, New Jersey. Mark Wallen practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mark Wallen is 1366416901. The last update date is 2008-11-18.
Mark Wallen's current location address is Po Box 635, Bellmawr, New Jersey. You can contact this provider via phone number 8567705772 and fax number 8564821159. The mailing address for Mark Wallen is Po Box 635, Bellmawr, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wallen |
|---|---|
| Address | Po Box 635, Bellmawr, New Jersey |
| Phone Number | 8567705772 |
| Fax Number | 8564821159 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366416901 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2008-11-18 |
Provider Mailing Address Detail
| Address | Po Box 635 |
|---|---|
| City | Bellmawr |
| State | New Jersey (NJ) |
| Post Code | 80990635 |
| Phone Number | 8567705772 |
| Fax Number | 8564821159 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MA03512400 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7596707 | NJ | -- |
Post Comment/ Review Below
What is the Mark Wallen's unique identification number?
The Mark Wallen has been assigned the NPI (National Provider Identifier) Number 1366416901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Wallen's physical address?
The Mark Wallen is physically located at Po Box 635, in the city of Bellmawr, NJ, with the postal code 80990635.
What is the area of specialization for Mark Wallen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Wallen is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date was the 1366416901 assigned to Mark Wallen?
The Mark Wallen was issued its 1366416901 on 2006-02-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Wallen's information last updated?
The Mark Wallen's information was last updated on 2008-11-18.