| NPI | 1730220039 |
|---|---|
| Professional Name | J MARK CARPER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3856) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 3856) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-11-29 |