Individual
JONATHAN MARMORSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3318
NC
103TC0700X
Clinical Psychologist
3318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068AF
BC/BS
NC
05
—
6107479
—
NC
Enumeration date
12/08/2006
Last updated
06/04/2026
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