Doctor Name: | DR. MARK ANDREW HIGHSMITH |
NPI Number: | 1174644827 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 3226 |
Business Practice Address: | 932 Old Us Hwy 70 W Black Mountain Center Black Mountain, NC - 287112547 |
Business Phone Number: | 8286693289 |
Business Fax Number: | |
Mailing Address: | 4 Alpine Way, SWANNANOA |
State: | NC |
Postal Code: | 287782302 |
Phone Number: | 8286861704 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 3226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |