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Individual

MARSHA CAROL AVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
104 COMMONS CT, THE COMMONS AT CHADDS FORD, CHADDS FORD, PA 19317-9708
(610) 358-3500
Mailing address
457 BAYARD RD, KENNETT SQUARE, PA 19348-2533
(610) 925-3920
(610) 925-3921

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
NA
PA
103T00000X
Psychologist
Primary
PS005928L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS005928L
PSYCHOLOGIST LICENSE
PA
Enumeration date
06/12/2007
Last updated
04/05/2026
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