Individual
PATRICIA MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
203 REDAN DR, SAVANNAH, GA 31410-2073
(912) 604-8278
Mailing address
203 REDAN DR, SAVANNAH, GA 31410-2073
(912) 604-8278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002703
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002703
GA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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