Individual
DR. ROBERT CHAPMAN MARSHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
16180 HASTINGS AVE SE STE 205, PRIOR LAKE, MN 55372-9228
(952) 443-4600
(952) 443-4604
Mailing address
PO BOX 51, VICTORIA, MN 55386-0051
(952) 443-4600
(952) 443-4604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6532
MN
Other
Enumeration date
04/17/2020
Last updated
05/06/2021
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