Green, Mark Stephen

Green, Mark Stephen is an sole proprietor health care provider with primary practice located at 9415 E Harry St Suite 703, Wichita KS 67207-5089. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Green, Mark Stephen can be contacted via phone (316) 978-6102.

Contact Information

Primary practice address
9415 E Harry St Suite 703 Wichita KS 67207-5089
Phone: (316) 978-6102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2354 Kansas

Profile Details

NPI number 1033589569
LBN Legal business name Green, Mark Stephen
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2015
Last updated Sep 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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