| Doctor Name: | MARK D DEVOE |
| NPI Number: | 1467745893 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSW |
| License Number: | |
| Business Practice Address: | 982 Chambers St South Ogden, UT - 844034571 |
| Business Phone Number: | 8014794105 |
| Business Fax Number: | |
| Mailing Address: | 982 Chambers Street, Ogden Cboc SOUTH OGDEN |
| State: | UT |
| Postal Code: | 84403 |
| Phone Number: | 8014794105 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |