Healthcare Provider Details

I. General information

NPI: 1760432942
Provider Name (Legal Business Name): MARC STEVEN GETZ LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S MAIN ST
BEL AIR MD
21014-3703
US

IV. Provider business mailing address

PO BOX 419
FOREST HILL MD
21050-0419
US

V. Phone/Fax

Practice location:
  • Phone: 410-838-4647
  • Fax: 410-893-5810
Mailing address:
  • Phone: 410-838-4647
  • Fax: 410-893-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC0892
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: