National Provider Identifier Database

PHYLLIS B MARK, PSYD – NPI #1447297494
Clinical

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 breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

PHYLLIS B MARK, PSYD
3504 VANN ROAD
STE 100, GRAYSON & ASSOCIATES PC
BIRMINGHAM, AL35235
Phone: 205-655-0585
Fax: 205-655-0586
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for PHYLLIS B MARK

NPI Number 1447297494
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 05/31/2006
Last updated 09/19/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 892
  • AL Medicaid: 000034487
  • AL Other: 051034487 BCBS OF AL
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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