MEDICARE: DR. DEVIN MARSH PH.D.

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
1	103TC0700X	Clinical Psychologist	3768	AZ
2	103TC0700X	Clinical Psychologist	PSY35272	CA

General Provider Information

NPI Number	:	1205887767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVIN MARSH PH.D.

Provider Business Mailing Address
First Line	:	1005 TRAPANI LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-6264
Country	:	US
Telephone Number	:	541-799-6902
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040A JACKSON AVE
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	06/12/2025

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