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NPI Code Detail

MEDICARE: ASHLEY HERCI MARSDEN

MEDICARE: ASHLEY HERCI MARSDEN
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
1101YM0800XMental Health Counselor
2225600000XDance Therapist

General Provider Information

NPI Number : 1043041478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HERCI MARSDEN
Provider Business Mailing Address
First Line : 23 MELLEN ST FL 5
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-2757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23 MELLEN ST FL 5
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-2757
Country : US
Telephone Number : 857-331-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ ASHLEY HERCI MARSDEN ” Practice Location

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