Individual
DR. RANDY MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-1557
Mailing address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-1557
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1405
NC
103TC0700X
Clinical Psychologist
Primary
1405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000738
—
NC
Enumeration date
02/20/2007
Last updated
10/26/2007
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