Mark Philo Short, PSY.D.

NPI #1124291778 in Las Vegas, Nevada

Provider Information

NPI Number: 1124291778
Entity Type: Individual
Name: Mark Philo Short, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: PSY.D.
Enumeration Date: Apr 3, 2008
Last Updated: Aug 4, 2016

Practice Location

Address: 2780 S JONES BLVD STE 108
City: Las Vegas
State: Nevada
ZIP Code: 89146-5625
Phone: (702) 606-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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