Individual
DEBORAH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016531-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016531
—
NY
Enumeration date
10/27/2006
Last updated
07/08/2007
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