Marshall Psychological Services, Llc | |
2800 N. Parham Road Suite 107 Richmond VA 23294 | |
(804) 482-0744 | |
(888) 972-4540 |
Full Name | Marshall Psychological Services, Llc |
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Speciality | Psychologist |
Location | 2800 N. Parham Road, Richmond, Virginia |
Authorized Official Name and Position | Christa Marie Marshall (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8044820744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marshall Psychological Services, Llc 5129 Linsey Lakes Drive Glen Allen VA 23060 Ph: (804) 482-0744 | Marshall Psychological Services, Llc 2800 N. Parham Road Suite 107 Richmond VA 23294 Ph: (804) 482-0744 |
NPI Number | 1720511504 |
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Provider Enumeration Date | 04/07/2017 |
Last Update Date | 04/07/2017 |
Medicare PECOS PAC ID | 1153687744 |
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Medicare Enrollment ID | O20171115001290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720511504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810004684 (Virginia) | Primary |
Provider Name | Christa Marshall |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134400104 PECOS PAC ID: 7315203916 Enrollment ID: I20171115001529 |
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