MEDICARE: VALERIE S. MARLER PH.D.,P.C.

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	577	GA

General Provider Information

NPI Number	:	1386780369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE S. MARLER PH.D.,P.C.

Provider Business Mailing Address
First Line	:	550 PHARR RD NE
Second Line	:	SUITE 205
City	:	ATLANTA
State	:	GA
Zip	:	30305-3428
Country	:	US
Telephone Number	:	404-237-3492
Fax Number	:	404-237-0442

Provider Business Practice Location Address
First Line	:	550 PHARR RD NE
Second Line	:	SUITE 205
City	:	ATLANTA
State	:	GA
Zip	:	30305-3428
Country	:	US
Telephone Number	:	404-237-3492
Fax Number	:	404-237-0442

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	11/10/2010

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Directions to “ VALERIE S. MARLER PH.D.,P.C.” Practice Location

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