| Mark W Gidney, Psy.d. | |
|
101 W Main St Suite 302 Frisco CO 80443 | |
| (970) 390-7522 | |
| Not Available |
| Full Name | Mark W Gidney, Psy.d. |
|---|---|
| Speciality | Psychologist |
| Location | 101 W Main St, Frisco, Colorado |
| Authorized Official Name and Position | Mark W Gidney (PRESIDENT) |
| Authorized Official Contact | 9703907522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Gidney, Psy.d. Po Box 2214 Frisco CO 80443-2214 Ph: () - | Mark W Gidney, Psy.d. 101 W Main St Suite 302 Frisco CO 80443 Ph: (970) 390-7522 |
| NPI Number | 1770898892 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 9739203647 |
|---|---|
| Medicare Enrollment ID | O20100830000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770898892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2120 (Colorado) | Primary |
| Provider Name | Mark W Gidney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083711097 PECOS PAC ID: 4385677194 Enrollment ID: I20050913000577 |
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