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NPI Code Detail

MEDICARE: DR. MARIAN L. MACDONALD PH.D.

MEDICARE: DR. MARIAN L. MACDONALD 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
1103TC0700XClinical Psychologist2527MA

General Provider Information

NPI Number : 1235328170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIAN L. MACDONALD PH.D.
Provider Business Mailing Address
First Line : 16 ARMORY ST
Second Line : STE 27
City : NORTHAMPTON
State : MA
Zip : 01060-3857
Country : US
Telephone Number : 413-585-5995
Fax Number :
Provider Business Practice Location Address
First Line : 16 ARMORY ST
Second Line : STE 27
City : NORTHAMPTON
State : MA
Zip : 01060-3857
Country : US
Telephone Number : 413-585-5995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 09/11/2017

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