Doctor Name: | PATRICIA L MARSHALL |
NPI Number: | 1902113285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LADC |
License Number: | 000499 |
Business Practice Address: | 179 Main Street #4 Hyde Park, VT - 05655 |
Business Phone Number: | 8022791631 |
Business Fax Number: | 8028511141 |
Mailing Address: | Po Box 334, 179 Main Street #4 HYDE PARK |
State: | VT |
Postal Code: | 05655 |
Phone Number: | 8022791631 |
Fax Number: | 8028511141 |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 02/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 000499 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |