| Doctor Name: | JESSICA L MARSHALL |
| NPI Number: | 1891083416 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CLINICAL PSYCH |
| License Number: | |
| Business Practice Address: | 2479 Aloma Ave Winter Park, FL - 327922541 |
| Business Phone Number: | 4076576692 |
| Business Fax Number: | |
| Mailing Address: | 559 N Lake Pleasant Rd, APOPKA |
| State: | FL |
| Postal Code: | 327123903 |
| Phone Number: | 7722148091 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2011 |
| NPI Last Update Date: | 07/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |