Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK THEODORE ORTH, LP
Active Sole ProprietorMARK THEODORE ORTH, LP is a Clinical Psychologist healthcare provider located in MC GRATH, Minnesota. NPI 1811149651 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MC GRATH, MN
Registration Details
- NPI Number
- 1811149651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2008 (17.818063997875 yrs)
- Last Updated
- Oct 10, 2008
- License
-
LP4963 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16809 260TH AVEMC GRATH, MN, 563504538Browse MN providers · Browse ZIP 56350
- Phone
- 3206761757
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.