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General NPI Number Information
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NPI Number | 1992868004
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Entity Type | Organization
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Legal Business Name | MARVALD COUNSELING & ASSOCIATES, INC.
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26777 LORAIN RD STE 314
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3225
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Country | US
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Telephone | 440-734-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 26777 LORAIN RD STE 314
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3225
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Country | US
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Telephone | 440-734-0337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK MARVALD
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Credential | L.I.S.W.
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Telephone | 440-734-0337
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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 | OH
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