Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK STEPHEN WISE
Active Sole ProprietorDR. MARK STEPHEN WISE is a Psychoanalyst healthcare provider located in MARIETTA, Georgia. NPI 1871360727 is currently active in the NPPES registry. Verify at CMS.
Psychoanalyst · MARIETTA, GA
Registration Details
- NPI Number
- 1871360727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2023 (2.6701346992958 yrs)
- Last Updated
- Dec 11, 2023
- License
-
LPC014257 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2501 E PIEDMONT RD STE 202MARIETTA, GA, 300627758Browse GA providers · Browse ZIP 30062
- Phone
- 4704351547
- Primary Specialty
-
Psychoanalyst
102L00000X
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.