| Angela R Marshall Psyd Inc | |
|
2525 W Vernal Pike Bloomington IN 47404-2782 | |
| (812) 345-5114 | |
| (812) 339-0369 |
| Full Name | Angela R Marshall Psyd Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2525 W Vernal Pike, Bloomington, Indiana |
| Authorized Official Name and Position | Lee D Godsey (BILLING MANAGER) |
| Authorized Official Contact | 8128248787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela R Marshall Psyd Inc Po Box 96 Smithville IN 47458-0096 Ph: (812) 824-8787 | Angela R Marshall Psyd Inc 2525 W Vernal Pike Bloomington IN 47404-2782 Ph: (812) 345-5114 |
| NPI Number | 1033394101 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033394101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041898A (Indiana) | Primary |
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