Treegoob, Mark Richard
Treegoob, Mark Richard is an sole proprietor health care provider with primary practice located at 19420 N 59Th Ave Ste C269, Glendale AZ 85308-2800. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Treegoob, Mark Richard can be contacted via phone (602) 843-5484.Contact Information
Primary practice address
19420 N 59Th Ave Ste C269
Glendale AZ 85308-2800
Phone: (602) 843-5484
Fax: (602) 843-5498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 629 | Arizona |
Profile Details
| NPI number | 1144214289 |
|---|---|
| LBN Legal business name | Treegoob, Mark Richard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Oct 20th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144214289 | NPPES |
| Arizona | MEDICAID | 731358 |
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