| Doctor Name: | DR. TOD R MARION |
| NPI Number: | 1053331298 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PS008894L |
| Business Practice Address: | 1415 Dutch Ridge Road Beaver, PA - 15009 |
| Business Phone Number: | 4129745537 |
| Business Fax Number: | |
| Mailing Address: | 1415 Dutch Ridge Road, BEAVER |
| State: | PA |
| Postal Code: | 15009 |
| Phone Number: | 4129745537 |
| Fax Number: | 7247282153 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 03/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | PS008894L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |