Healthcare Provider Details

I. General information

NPI: 1689803819
Provider Name (Legal Business Name): DR. MARSHALL'S CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 GOLDEN ROCK SUITE 8A
CHRISTIANSTED VI
00820
US

IV. Provider business mailing address

PO BOX 4392
CHRISTIANSTED VI
00822-4392
US

V. Phone/Fax

Practice location:
  • Phone: 340-227-2881
  • Fax:
Mailing address:
  • Phone: 340-227-2881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number09-027-PSY
License Number StateVI

VIII. Authorized Official

Name: DR. DENESE GAIL MARSHALL
Title or Position: OWNER
Credential: PSY.D.
Phone: 340-227-2881