| Doctor Name: | DR. KRISTA MICHIELS MARCHMAN |
| NPI Number: | 1023262458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | SS796 |
| Business Practice Address: | 1420 Celebration Blvd Suite 200 Celebration, FL - 347475159 |
| Business Phone Number: | 3215591222 |
| Business Fax Number: | |
| Mailing Address: | 1420 Celebration Blvd, Suite 200 CELEBRATION |
| State: | FL |
| Postal Code: | 347475159 |
| Phone Number: | 3215591222 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2008 |
| NPI Last Update Date: | 11/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | SS796 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |