| Dr. Sharon Peachey Marshall, Pa | |
|
871 Venetia Bay Blvd Suite 360 Venice FL 34285-8051 | |
| (941) 480-9000 | |
| (941) 480-9013 |
| Full Name | Dr. Sharon Peachey Marshall, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 871 Venetia Bay Blvd, Venice, Florida |
| Authorized Official Name and Position | Sharon Jean Peachey Marshall (PRESIDENT) |
| Authorized Official Contact | 9414809000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sharon Peachey Marshall, Pa 871 Venetia Bay Blvd Suite 360 Venice FL 34285-8051 Ph: (941) 480-9000 | Dr. Sharon Peachey Marshall, Pa 871 Venetia Bay Blvd Suite 360 Venice FL 34285-8051 Ph: (941) 480-9000 |
| NPI Number | 1225455678 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Medicare PECOS PAC ID | 5890912588 |
|---|---|
| Medicare Enrollment ID | O20140804000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225455678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8043 (Florida) | Primary |
| Provider Name | Sharon J Peachey Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528398625 PECOS PAC ID: 3870628027 Enrollment ID: I20100312001022 |
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