| NPI | 1770502379 |
|---|---|
| Professional Name | MARK D WORTHEN PSYD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1835) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC 1835) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-05-18 |