Individual
DR. RICHARD RENE MARCIL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
172 W WARREN AVE, SUITE 130, LONGWOOD, FL 32750-4133
(407) 894-8507
(407) 894-2024
Mailing address
172 W WARREN AVE, SUITE 130, LONGWOOD, FL 32750-4133
(407) 894-8507
(407) 894-2024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5474
FL
103TC1900X
Counseling Psychologist
PY5474
FL
Other
Enumeration date
01/02/2007
Last updated
01/23/2017
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