Doctor Name: | MRS. AMY T MARSHMAN |
NPI Number: | 1528218427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW, LCSW |
License Number: | 7416-123 |
Business Practice Address: | 831 Game Trl Apt 101 Lakemoor, IL - 600516418 |
Business Phone Number: | 7736035566 |
Business Fax Number: | |
Mailing Address: | 831 Game Trl Apt 101, LAKEMOOR |
State: | IL |
Postal Code: | 600516418 |
Phone Number: | 7736035566 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2008 |
NPI Last Update Date: | 02/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7416-123 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |