Doctor Name: | DR. LAFAYE F MARSHALL |
NPI Number: | 1013173525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PSY10000938 |
Business Practice Address: | 1997 Annapolis Exchange Pkwy Suite 300 Annapolis, MD - 214013271 |
Business Phone Number: | 2404812723 |
Business Fax Number: | 2404812723 |
Mailing Address: | 1997 Annapolis Exchange Pkwy, Suite 300 ANNAPOLIS |
State: | MD |
Postal Code: | 214013271 |
Phone Number: | 2404812723 |
Fax Number: | 2404812723 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY10000938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |