Individual
JILL ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC, MS
Contact information
Practice address
3235 N 3RD ST, HARRISBURG, PA 17110-1308
(717) 234-3839
(717) 234-6247
Mailing address
4 SANDY CT, ENOLA, PA 17025-1530
(717) 732-4317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006888-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02128001
CAPITAL BLUE CROSS
PA
Enumeration date
08/18/2006
Last updated
07/08/2007
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