Individual
MARSHALL H WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 BEAVER POND LANE, TELLURIDE, CO 81435
(970) 728-7074
Mailing address
PO BOX 2468, TELLURIDE, CO 81435-2468
(970) 728-7074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1377
CO
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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