Individual
TERESA J MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0001394
CO
103TB0200X
Cognitive & Behavioral Psychologist
1394
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07013949
—
CO
Enumeration date
04/11/2006
Last updated
03/21/2022
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