| Nathaniel Travis Marvel, Jr. | |
|
143 Lakeview Ct. Loveland OH 45140 | |
| (513) 535-1064 | |
| (513) 774-8612 |
| Full Name | Nathaniel Travis Marvel, Jr. |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 143 Lakeview Ct., Loveland, Ohio |
| Authorized Official Name and Position | Nathaniel Travis Marvel (OWNER) |
| Authorized Official Contact | 5135351064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Travis Marvel, Jr. Po Box 643680 Cincinnati OH 45264-3680 Ph: (513) 891-2813 | Nathaniel Travis Marvel, Jr. 143 Lakeview Ct. Loveland OH 45140 Ph: (513) 535-1064 |
| NPI Number | 1053411447 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053411447 | NPI | - | NPPES |
| DF0430 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 35-051342 (Ohio) | Primary |
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