Provider Demographics
NPI:1447468384
Name:COMBS, MARK P (PHD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:P
Last Name:COMBS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-1411
Mailing Address - Country:US
Mailing Address - Phone:717-666-3866
Mailing Address - Fax:
Practice Address - Street 1:1830 TOWERVIEW DR
Practice Address - Street 2:TOWERVIEW BUILDING
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4849
Practice Address - Country:US
Practice Address - Phone:610-486-0778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist