Staal, Mark Allen

Staal, Mark Allen is an individual health care provider with primary practice located at 595 Independence Rd , Hurlburt Field FL 32544-5604. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Staal, Mark Allen can be contacted via phone (850) 881-5152.

Contact Information

Primary practice address
595 Independence Rd Hurlburt Field FL 32544-5604
Phone: (850) 881-5152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 008838 Michigan

Profile Details

NPI number 1174582647
LBN Legal business name Staal, Mark Allen
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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