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NPI Code Detail

MEDICARE: MARSHA KING

MEDICARE: MARSHA KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistOH

General Provider Information

NPI Number : 1154264315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA KING
Provider Business Mailing Address
First Line : 2019 E FRONT ST
Second Line :
City : LOGAN
State : OH
Zip : 43138-9678
Country : US
Telephone Number : 740-385-8517
Fax Number :
Provider Business Practice Location Address
First Line : 2019 E FRONT ST
Second Line :
City : LOGAN
State : OH
Zip : 43138-9678
Country : US
Telephone Number : 740-385-8517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MARSHA KING ” Practice Location

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