Mr Marvin David Coulthard, MA, LPA is a
Psychologist based in Tarboro, North Carolina. Mr Marvin David Coulthard is licensed to practice in North Carolina (license number 0734) and his current practice location is
325 N Main St, Tarboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 823-2927.
NPI number for Mr Marvin David Coulthard is 1548314180 and his current mailing address is 325 N Main St, Tarboro, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548314180.
Healthcare Provider's Profile
| Full Name | Mr Marvin David Coulthard |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 325 N Main St, Tarboro, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548314180
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Marvin David Coulthard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548314180 | NPI | - | NPPES |
| 6107021 | Medicaid | NC | |
| 046C6 | Other | NC | BLUECROSSBLUESHIELD |
| 52960 | Other | NC | CIGNABEHAVIORALHEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 0734 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Marvin David Coulthard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Marvin David Coulthard, MA, LPA 325 N Main St, Tarboro, NC 27886-5009 Ph: (252) 823-2927 | Mr Marvin David Coulthard, MA, LPA 325 N Main St, Tarboro, NC 27886-5009 Ph: (252) 823-2927 |
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