National Provider Identifier
Mark Gregory Brogan, PHD
Mark Gregory Brogan, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Pittsford, NY and a listed phone number of (585) 234-9494.
Profile Overview
- NPI
- 1013947274
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 04, 2006
- Last Updated
- January 30, 2012
Practice Location
- 40A Grove St # A
- Pittsford, NY 14534-1317
Phone: (585) 234-9494
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1013947274
- Entity Type
- Individual
- Last Name
- Brogan
- First Name
- Mark
- Middle Name
- Gregory
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 40A Grove St # A
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-1317
- Mailing Country
- US
- Mailing Phone
- (585) 234-9494
- Mailing Fax
- (585) 383-0820
- Practice Street Address
- 40A Grove St # A
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-1317
- Practice Country
- US
- Practice Phone
- (585) 234-9494
- Practice Fax
- (585) 383-0820
- Enumeration Date
- July 04, 2006
- Last Updated
- January 30, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 02399324 (NY)