MEDICARE: MARSHAL COMPTON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	7245	OH

General Provider Information

NPI Number	:	1033508577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHAL COMPTON PH.D.

Provider Business Mailing Address
First Line	:	1015 DELTA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3103
Country	:	US
Telephone Number	:	513-332-2216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 DELTA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3103
Country	:	US
Telephone Number	:	513-332-2216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2015
Last Update Date	:	05/31/2015

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Directions to “ MARSHAL COMPTON PH.D.” Practice Location

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