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Individual

PERRY M MARCHIONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1705 W ILLINOIS, MIDLAND, TX 79701
(432) 684-4540
(432) 685-0809
Mailing address
1705 W ILLINOIS, MIDLAND, TX 79701
(432) 684-4540
(432) 685-0809

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23560
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033438501
TX
Enumeration date
09/06/2006
Last updated
05/13/2014
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