Organization
MARCUS PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ELDRIDGE MARCUS PH.D. (DIRECTOR, LICENSED PSYCHOLOGIST)
(305) 666-8000
Entity
Organization
Contact information
Practice address
7685 SW 104TH ST, SUITE 100, MIAMI, FL 33156-3161
(305) 666-8000
(305) 666-4311
Mailing address
7685 SW 104TH ST, SUITE 100, MIAMI, FL 33156-3161
(305) 666-8000
(305) 666-4311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75024
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/20/2007
Last updated
08/22/2020
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