Individual
DR. FREDERICK JOSEPH MARSHALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
27796 WESTCOTT CRESCENT CIR, FARMINGTON HILLS, MI 48334-5352
(248) 872-5477
(248) 477-5773
Mailing address
27796 WESTCOTT CRESCENT CIR, FARMINGTON HILLS, MI 48334-5352
(248) 872-5477
(248) 477-5773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68OF37073
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/12/2007
Last updated
11/07/2022
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