| Mark Fugate, | |
|
800 E Main St, Bradford, PA 16701-3278 | |
| (814) 817-1400 | |
| (814) 362-5245 |
| Full Name | Mark Fugate |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 800 E Main St, Bradford, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245748334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017835 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Fugate, 800 E Main St, Bradford, PA 16701-3278 Ph: (814) 817-1400 | Mark Fugate, 800 E Main St, Bradford, PA 16701-3278 Ph: (814) 817-1400 |
Jackson L Stewart, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
David Dean Harten, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, The Guidance Center, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-362-7358 | |
Virginia G Fass, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Main St, Suite 315, Bradford, PA 16701 Phone: 814-362-5579 Fax: 814-368-5997 | |
Dr. John Wesley Addis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 Kennedy Street, Suite 202, Bradford, PA 16701 Phone: 814-362-2136 Fax: 814-362-2136 | |
Dr. Danielle L Garris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Bradford, PA 16701 Phone: 814-817-1400 Fax: 814-362-2185 | |
Mary Anne Polucci-sherman, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 |