Individual
DR. ANGELA R MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
901 S ROGERS ST, SUITE 205, BLOOMINGTON, IN 47403-4756
(812) 345-5114
(812) 339-0369
Mailing address
PO BOX 2164, BLOOMINGTON, IN 47402-2164
(812) 345-5114
(812) 339-0369
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041898A
IN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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