Mark Fugate
NPI #1245748334 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1245748334
- Entity Type
- Individual
- Name
- Mark Fugate
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Enumeration Date
- Jan 11, 2018
- Last Updated
- Jan 11, 2018
Practice Location
- Address
- 800 E MAIN ST
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-3278
- Phone
- (814) 817-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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