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Individual
DR. MARC ANDREW NEMIROFF
Active
Individual
DR. MARC ANDREW NEMIROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
00972
MD
103TC0700X
Clinical Psychologist
000972
MD
103TC2200X
Clinical Child & Adolescent Psychologist
00972
MD
103TF0000X
Family Psychologist
Primary
00972
MD
103TP2701X
Group Psychotherapy Psychologist
00972
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00972
972
MD
01
—
0810000767
0810000767
VA
01
—
PSY812
812
DC
Enumeration date
04/23/2007
Last updated
09/11/2025
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