| Doctor Name: | DR. BRENDA MARSHALL |
| NPI Number: | 1275868762 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD, N.P. |
| License Number: | 26NJ00207700 |
| Business Practice Address: | 525 Wanaque Ave Suite 203 Pompton Lakes, NJ - 074421843 |
| Business Phone Number: | 9736857000 |
| Business Fax Number: | |
| Mailing Address: | 305 Terhune Dr, WAYNE |
| State: | NJ |
| Postal Code: | 074707105 |
| Phone Number: | 9736165362 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2009 |
| NPI Last Update Date: | 10/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 26NJ00207700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |