Individual provider · Type 1 NPI
Mark Wise, PSY.D.
Clinical Psychologist · Columbus, GA
Practice location
3000 Schatulga Rd Bldg 5
Columbus, GA 31907-3117
Fax (706) 562-1484
Mailing address
4989 Post Road Pass
Stone Mountain, GA 30088-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY000818 (GA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1477645471
Mark Wise, PSY.D.'s National Provider Identifier is 1477645471, issued on Sep 28, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.