Doctor Name: | MR. MICHAEL HILTON MARCHANT |
NPI Number: | 1023034717 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCS22455 |
Business Practice Address: | 2640 Martin Luther King Jr Way Berkeley, CA - 947043238 |
Business Phone Number: | 5109815290 |
Business Fax Number: | 5109815265 |
Mailing Address: | 2640 Martin Luther King Jr Way, BERKELEY |
State: | CA |
Postal Code: | 947043238 |
Phone Number: | 5109815290 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS22455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |