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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PHYLLIS B MARK · (Female)

NPI # 1447297494
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 05/31/2006
Last updated 09/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 892
  • AL Medicaid 000034487
  • AL Other 051034487 BCBS OF AL
Hospital affiliation(s) Not Available
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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