Doctor Name: | HEATHER LEA MARSH |
NPI Number: | 1003098229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RC00032211 |
Business Practice Address: | 113 170th St S Spanaway, WA - 983878222 |
Business Phone Number: | 2532233340 |
Business Fax Number: | |
Mailing Address: | 505 123rd St S, TACOMA |
State: | WA |
Postal Code: | 984443623 |
Phone Number: | 2535351935 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00032211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |