| Dr. Dustin Marsh, Psy.d., Pllc | |
|
19044 Outer Dr Dearborn MI 48128-1862 | |
| (213) 663-6862 | |
| Not Available |
| Full Name | Dr. Dustin Marsh, Psy.d., Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 19044 Outer Dr, Dearborn, Michigan |
| Authorized Official Name and Position | Dustin Marsh (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3137698999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dustin Marsh, Psy.d., Pllc Po Box 2343 Dearborn MI 48123-2343 Ph: (313) 769-8999 | Dr. Dustin Marsh, Psy.d., Pllc 19044 Outer Dr Dearborn MI 48128-1862 Ph: (213) 663-6862 |
| NPI Number | 1831763168 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831763168 | NPI | - | NPPES |
| 1407150295 | Medicaid | NV | |
| 6301018274 | Other | MI | LICENSED PSYCHOLOGIST |
| PY0952 | Other | NV | LICENSED PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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