Organization
ANGELA R MARSHALL PSYD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE D GODSEY (BILLING MANAGER)
(812) 824-8787
Entity
Organization
Contact information
Practice address
2525 W VERNAL PIKE, BLOOMINGTON, IN 47404-2782
(812) 345-5114
(812) 339-0369
Mailing address
PO BOX 96, SMITHVILLE, IN 47458-0096
(812) 824-8787
(812) 824-8825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041898A
IN
Other
Enumeration date
01/08/2008
Last updated
02/04/2009
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