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Individual

DANIEL C MARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
622
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000073136
AL
05
01887078
MS
01
680005546
RR MEDICARE
AL
01
73136
BCBS OF AL
AL
01
R95165
VIVA
AL
Enumeration date
08/09/2006
Last updated
07/07/2011
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