Individual
MARCIA SUE CHENOWETH
Active
Individual
MARCIA SUE CHENOWETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007701286
AETNA
CT
01
—
060002290CT04
ANTHEM BLUE CROSS
CT
01
—
2072865
CIGNA BEHAVIORAL
CT
01
—
213058
COMPSYCH
CT
01
—
242213
MHN
CT
01
—
61-49786
UNITED BEHAVIORAL HEALTH
CT
Enumeration date
07/11/2006
Last updated
12/07/2007
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