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General NPI Number Information
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NPI Number | 1538415856
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Entity Type | Organization
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Legal Business Name | MARSTON PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 12320 ROUTE 30 STE 2
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-2590
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Country | US
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Telephone | 412-380-2695
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Fax | 412-380-0150
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Provider Business Mailing Address
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Address Line | 222 SPARTAN DR
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City | MONROEVILLE
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State | PA
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Zip | 15146-1526
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Country | US
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Telephone | 412-380-2695
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Fax | 412-380-0150
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST/OWNER
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Name | DR. DANIEL MARSTON
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Credential | PHD
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Telephone | 412-380-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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