Individual
MARVIN K MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8852
Mailing address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8852
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1759
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07017591
—
CO
Enumeration date
07/27/2006
Last updated
07/08/2007
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