Individual
DR. JOEL DANIEL MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1180
LA
103T00000X
Psychologist
32143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06908019
—
MS
05
—
162880203
—
TX
01
—
162880204
CSHCN
TX
05
—
2175700
—
LA
Enumeration date
12/15/2005
Last updated
10/15/2019
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