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General NPI Number Information
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NPI Number | 1306402839
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Entity Type | Organization
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Legal Business Name | MICHELLE MARSHALL PSYCHIATRY SERVICES
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE K7
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City | AUSTIN
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State | TX
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Zip | 78759-8600
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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Provider Business Mailing Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE K7
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City | AUSTIN
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State | TX
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Zip | 78759-8600
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE MARSHALL
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Credential | APRN
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Telephone | 512-454-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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