Individual
JACQUELINE M MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LP
Contact information
Practice address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Mailing address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/02/2019
Last updated
09/19/2022
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