Individual
DR. WILLIAM R MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
502 E CORNWALLIS DR, SUITE N, GREENSBORO, NC 27405-5680
(336) 275-6595
Mailing address
2021 DOWNING ST, GREENSBORO, NC 27410-2413
(336) 288-7683
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0732
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06044
BC/BS PROVIDER #
NC
Enumeration date
06/21/2006
Last updated
07/08/2007
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